Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $114.82	Facility		$17.78	$38.90	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $25.70	Professional		$7.94	$12.02	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $39.81	Facility		$22.39	$30.20	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $15.85 / $24.55	Professional		$5.62	$15.85	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $34.67	Professional		$13.80	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $61.66	Facility		$13.80	$13.80	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $19.95	Professional		$11.48	$13.80	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $25.70	Facility		$13.80	$13.80	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $40.74	Facility		$13.18	$19.95	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $79.43	Professional		$11.48	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $56.23	Facility		$20.42	$40.74	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $16.60	Professional		$8.71	$11.75	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Facility		$16.60	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $16.60	Professional		$4.79	$5.75	$16.60