Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $67.43 / $97.85	Facility		$21.05	$67.43	$97.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $19.64 / $103.00	Professional		$15.04	$19.64	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $40.82 / $55.63	Facility		$25.20	$40.82	$55.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.76 / $27.61	Professional		$11.19	$17.76	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $37.86 / $40.86	Professional		$15.50	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $16.54 / $32.34	Facility		$12.85	$16.54	$32.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.82 / $22.32	Professional		$15.50	$17.82	$22.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $17.05 / $34.22	Facility		$15.50	$17.05	$34.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $18.76 / $44.95	Facility		$14.05	$18.76	$44.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $18.60 / $25.37	Professional		$15.50	$18.60	$25.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $47.83 / $64.04	Facility		$30.23	$47.83	$64.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.76 / $38.56	Professional		$13.91	$19.76	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.88 / $18.60	Professional		$9.30	$9.88	$18.60