Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $31.77 / $104.50	Facility		$17.39	$31.77	$104.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.15 / $62.00	Professional		$10.74	$13.15	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $36.61 / $43.04	Facility		$22.60	$36.61	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.56 / $24.67	Professional		$8.52	$15.56	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $33.90 / $36.59	Professional		$13.91	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $15.08 / $36.29	Facility		$9.64	$15.08	$36.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $16.48 / $24.13	Professional		$13.91	$16.48	$24.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.69 / $30.71	Facility		$13.91	$16.69	$30.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.69 / $36.61	Facility		$13.91	$16.69	$36.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.56 / $19.63	Professional		$13.91	$15.56	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $42.33 / $57.47	Facility		$27.12	$42.33	$57.47
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 $5.84 / $6.85 / $16.69	Professional		$5.84	$6.85	$16.69