Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $32.65 / $94.46	Facility		$16.38	$32.65	$94.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.09 / $37.86	Professional		$10.84	$13.09	$37.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $34.51 / $43.04	Facility		$21.30	$34.51	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.87 / $23.50	Professional		$8.52	$14.87	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $31.56 / $34.04	Professional		$13.10	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $13.98 / $27.33	Facility		$10.50	$13.98	$27.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $14.41 / $19.73	Professional		$13.10	$14.41	$19.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $16.28 / $78.81	Facility		$13.10	$16.28	$78.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $15.72 / $36.29	Facility		$10.50	$15.72	$36.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $15.50 / $19.63	Professional		$13.10	$15.50	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $39.86 / $54.12	Facility		$25.55	$39.86	$54.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $15.29 / $32.00	Professional		$11.59	$15.29	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.85 / $16.76	Professional		$5.50	$6.85	$16.76