Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $51.29 / $338.84	Facility		$16.22	$51.29	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $85.11	Professional		$10.00	$13.49	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $48.98	Facility		$21.88	$35.48	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $23.99	Professional		$8.91	$13.49	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $34.67	Professional		$13.49	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $51.29	Facility		$13.49	$13.49	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $27.54	Professional		$13.49	$18.20	$27.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $35.48	Facility		$13.49	$13.49	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $45.71	Facility		$13.18	$19.50	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $79.43	Professional		$13.49	$16.98	$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 $10.23 / $13.49 / $17.38	Professional		$10.23	$13.49	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Facility		$16.22	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $19.05	Professional		$5.75	$7.76	$19.05