Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $70.79 / $72.44	Facility		$15.14	$70.79	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.05	Professional		$10.00	$12.02	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $46.77	Facility		$25.70	$25.70	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $22.91	Professional		$12.88	$15.85	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $40.74	Professional		$15.85	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $22.91	Professional		$15.85	$17.78	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $25.12	Facility		$14.45	$17.78	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $46.77	Facility		$15.49	$22.39	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $79.43	Professional		$15.14	$17.78	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $63.10	Facility		$28.18	$47.86	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $19.05	Professional		$12.02	$14.45	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $25.70	Facility		$19.05	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $19.05	Professional		$6.76	$6.76	$19.05