Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $23.20 / $44.80	Facility		$19.20	$23.20	$44.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $15.52 / $50.39	Professional		$11.11	$15.52	$50.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $42.12 / $46.49	Facility		$26.00	$42.12	$46.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $16.70 / $28.79	Professional		$8.52	$16.70	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $38.65 / $41.70	Professional		$16.00	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $16.00 / $39.84	Facility		$8.00	$16.00	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $18.07 / $85.20	Facility		$16.00	$18.07	$85.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $19.20 / $43.04	Facility		$8.00	$19.20	$43.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.60 / $22.40	Professional		$15.50	$17.60	$22.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $48.69 / $66.09	Facility		$31.20	$48.69	$66.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.29 / $39.38	Professional		$12.25	$15.29	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $19.20	Professional		$6.72	$6.72	$19.20