Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $32.63 / $179.79	Facility		$17.85	$32.63	$179.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.32 / $17.39	Professional		$11.98	$13.32	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $36.13 / $49.28	Facility		$22.30	$36.13	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $33.14 / $35.72	Professional		$13.73	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $13.73 / $28.64	Facility		$11.98	$13.73	$28.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.79 / $19.77	Professional		$13.73	$15.79	$19.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $18.54 / $37.93	Facility		$13.73	$18.54	$37.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $16.48 / $39.82	Facility		$11.98	$16.48	$39.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $16.48 / $22.48	Professional		$13.73	$16.48	$22.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $42.40 / $56.72	Facility		$26.77	$42.40	$56.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.51 / $33.64	Professional		$12.17	$17.51	$33.64
United Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $20.60 / $21.97	Facility		$20.60	$20.60	$21.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.85 / $16.48	Professional		$5.77	$7.85	$16.48