Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $17.93 / $69.76	Facility		$14.08	$17.93	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.40 / $59.00	Professional		$9.86	$14.40	$59.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.49 / $98.37	Professional		$13.80	$32.49	$98.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $27.92 / $32.10	Professional		$23.93	$27.92	$32.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $17.52 / $38.18	Facility		$11.35	$17.52	$38.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.74 / $32.90	Professional		$15.49	$22.74	$32.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $24.79 / $30.15	Facility		$20.35	$24.79	$30.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $90.00 / $120.00	Facility		$31.75	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $26.34 / $67.08	Professional		$15.96	$26.34	$67.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $37.02 / $48.37	Facility		$25.16	$37.02	$48.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $15.05 / $34.04	Professional		$14.30	$15.05	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $14.80 / $34.70	Professional		$12.54	$14.80	$34.70