Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $22.41 / $107.78	Professional		$16.45	$22.41	$107.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $25.64	Facility		$25.64	$25.64	$25.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $25.64	Professional		$18.72	$18.72	$25.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $72.44 / $94.48	Professional		$26.15	$72.44	$94.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $30.70 / $37.36	Facility		$18.71	$30.70	$37.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $35.49 / $39.22	Professional		$27.77	$35.49	$39.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $37.36 / $41.10	Facility		$29.65	$37.36	$41.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $37.36 / $38.72	Professional		$29.65	$37.36	$38.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $32.04 / $39.22	Facility		$22.41	$32.04	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $32.71 / $41.10	Professional		$18.72	$32.71	$41.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $62.12 / $131.06	Facility		$31.12	$62.12	$131.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $41.10 / $41.10	Professional		$32.13	$41.10	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.05 / $32.56	Professional		$16.05	$17.05	$32.56