Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $23.72 / $42.86	Facility		$13.20	$23.72	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $16.34 / $30.62	Professional		$8.94	$16.34	$30.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $28.25 / $34.61	Professional		$20.19	$28.25	$34.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $24.92 / $55.40	Facility		$12.34	$24.92	$55.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $25.73 / $45.62	Professional		$15.58	$25.73	$45.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $26.80 / $46.24	Facility		$17.60	$26.80	$46.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $24.16 / $56.23	Facility		$12.60	$24.16	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $25.90 / $50.40	Professional		$12.80	$25.90	$50.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $55.37 / $84.92	Facility		$34.69	$55.37	$84.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $38.76 / $54.55	Professional		$24.09	$38.76	$54.55
United Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $43.47 / $74.47	Professional		$22.08	$43.47	$74.47