Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $30.85 / $57.64	Facility		$16.55	$30.85	$57.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.85 / $83.08	Professional		$10.46	$12.85	$83.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $34.86 / $43.04	Facility		$21.53	$34.86	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.28 / $23.50	Professional		$8.52	$15.28	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $32.35 / $34.90	Professional		$13.25	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.14 / $29.66	Facility		$9.94	$14.14	$29.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.24 / $20.95	Professional		$13.25	$15.24	$20.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $16.28 / $29.25	Facility		$13.25	$16.28	$29.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $15.90 / $36.29	Facility		$10.87	$15.90	$36.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.56 / $19.63	Professional		$13.25	$15.56	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $40.32 / $54.74	Facility		$25.84	$40.32	$54.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.29 / $32.82	Professional		$11.87	$15.29	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.85 / $15.90	Professional		$5.57	$6.85	$15.90