Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.18 / $34.67	Facility		$12.30	$28.18	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $52.48	Professional		$7.94	$14.13	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $120.23	Facility		$75.86	$104.71	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.45 / $33.88	Professional		$12.59	$14.45	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $32.36	Professional		$20.42	$26.92	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.49 / $31.62	Facility		$11.48	$15.49	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $32.36	Professional		$14.45	$23.99	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $30.20	Facility		$20.42	$24.55	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.85 / $38.02	Facility		$10.72	$15.85	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $79.43	Professional		$13.18	$28.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $50.12	Facility		$18.62	$33.11	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $32.36	Professional		$12.88	$16.98	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $26.30	Professional		$11.75	$14.79	$26.30