Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $20.39 / $32.90	Facility		$13.13	$20.39	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $13.77 / $49.00	Professional		$8.36	$13.77	$49.00
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 $12.84 / $33.32 / $98.37	Professional		$12.84	$33.32	$98.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $31.60 / $36.38	Professional		$19.84	$31.60	$36.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $17.75 / $30.71	Facility		$11.16	$17.75	$30.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.94 / $33.11	Professional		$16.55	$22.94	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $24.12 / $28.14	Facility		$17.14	$24.12	$28.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $90.00 / $120.00	Facility		$36.90	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $26.57 / $67.08	Professional		$15.39	$26.57	$67.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $38.65 / $54.88	Facility		$25.16	$38.65	$54.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $17.48 / $38.64	Professional		$15.78	$17.48	$38.64
United Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.80 / $34.70	Professional		$12.90	$14.80	$34.70