Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $77.83 / $205.43	Facility		$17.37	$77.83	$205.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.87 / $21.58	Professional		$10.70	$10.87	$21.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $31.55 / $43.04	Facility		$19.48	$31.55	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.63 / $21.74	Professional		$8.52	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $29.18 / $31.49	Professional		$11.98	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $12.78 / $29.66	Facility		$9.94	$12.78	$29.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.78 / $20.26	Professional		$11.98	$13.78	$20.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $14.98 / $26.45	Facility		$11.98	$14.98	$26.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $14.50 / $34.74	Facility		$10.87	$14.50	$34.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.38 / $19.63	Professional		$11.98	$14.38	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $37.00 / $49.49	Facility		$23.36	$37.00	$49.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.29 / $29.54	Professional		$10.72	$15.29	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.85 / $14.38	Professional		$5.03	$6.85	$14.38