Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $70.79 / $234.42	Facility		$23.99	$70.79	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $27.54	Professional		$12.02	$13.49	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $53.70	Facility		$30.20	$48.98	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.38 / $33.11	Professional		$8.91	$21.38	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $47.86	Professional		$18.62	$40.74	$47.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $117.49	Facility		$18.62	$18.62	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $26.92	Professional		$18.62	$21.38	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $38.90	Facility		$18.62	$18.62	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $54.95	Facility		$16.60	$25.70	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $79.43	Professional		$16.60	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $77.62	Facility		$28.18	$56.23	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $22.39	Professional		$14.13	$16.98	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Facility		$22.39	$22.39	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $22.39	Professional		$7.76	$7.76	$22.39