Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $101.76 / $326.64	Facility		$22.28	$101.76	$326.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $16.63 / $18.75	Professional		$13.88	$16.63	$18.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $45.12 / $51.92	Facility		$27.85	$45.12	$51.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $19.82 / $30.55	Professional		$9.51	$19.82	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $41.80 / $45.11	Professional		$17.14	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $20.57 / $133.00	Facility		$13.12	$20.57	$133.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.57 / $24.68	Professional		$17.14	$20.57	$24.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.85 / $37.84	Facility		$17.14	$18.85	$37.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $20.57 / $48.97	Facility		$12.49	$20.57	$48.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $18.95 / $24.00	Professional		$16.46	$18.95	$24.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $52.16 / $70.81	Facility		$33.42	$52.16	$70.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $23.35 / $41.85	Professional		$14.96	$23.35	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $20.57	Professional		$7.20	$7.20	$20.57