Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $20.49 / $39.56	Facility		$16.96	$20.49	$39.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.71 / $122.00	Professional		$10.84	$13.71	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $37.18 / $43.04	Facility		$22.95	$37.18	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.56 / $25.26	Professional		$8.52	$15.56	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $34.70 / $37.45	Professional		$14.13	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $15.08 / $29.66	Facility		$9.64	$15.08	$29.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.48 / $20.35	Professional		$14.13	$16.48	$20.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.84 / $31.19	Facility		$14.13	$14.84	$31.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $16.96 / $37.18	Facility		$10.87	$16.96	$37.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.54 / $20.21	Professional		$14.13	$15.54	$20.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $43.00 / $58.38	Facility		$27.55	$43.00	$58.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.29 / $34.46	Professional		$12.25	$15.29	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $6.85 / $16.96	Professional		$5.93	$6.85	$16.96