Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $19.48 / $32.15	Facility		$15.58	$19.48	$32.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.23 / $18.89	Professional		$15.58	$16.23	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $43.26	Facility		$15.17	$15.17	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $17.44	Professional		$16.07	$16.07	$17.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $34.09 / $100.43	Professional		$15.31	$34.09	$100.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $22.99 / $86.41	Facility		$16.07	$22.99	$86.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $17.68 / $20.90	Professional		$12.94	$17.68	$20.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $20.10 / $48.24	Facility		$15.58	$20.10	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $62.58 / $157.58	Facility		$15.17	$62.58	$157.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.39 / $75.00	Professional		$16.07	$27.39	$75.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $106.80 / $204.85	Facility		$71.20	$106.80	$204.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07