Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $79.56	Facility		$18.29	$18.29	$79.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.41 / $91.08	Professional		$13.37	$16.41	$91.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.73 / $48.15 / $53.15	Facility		$29.73	$48.15	$53.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $10.54 / $23.91	Professional		$9.61	$10.54	$23.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $44.96 / $48.52	Professional		$18.29	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $18.29 / $41.39	Facility		$9.15	$18.29	$41.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.85 / $24.87	Professional		$18.29	$18.85	$24.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $19.20 / $79,999.20	Facility		$18.29	$19.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $21.03 / $45.65	Facility		$12.25	$21.03	$45.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $20.12 / $25.61	Professional		$15.92	$20.12	$25.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.67 / $55.66 / $75.56	Facility		$35.67	$55.66	$75.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $17.48 / $45.13	Professional		$14.00	$17.48	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.84 / $21.95	Professional		$7.68	$7.84	$21.95