Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $97.72 / $398.11	Facility		$23.44	$97.72	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $165.96	Professional		$10.96	$15.85	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $52.48	Facility		$27.54	$44.67	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $30.90	Professional		$9.12	$19.95	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $43.65	Professional		$16.98	$37.15	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.44 / $316.23	Facility		$16.98	$23.44	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $24.55	Professional		$16.98	$19.50	$24.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $32.36	Facility		$16.98	$16.98	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $50.12	Facility		$16.60	$23.99	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $30.90	Professional		$15.49	$19.05	$30.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $70.79	Facility		$25.70	$51.29	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $20.42	Professional		$12.88	$15.49	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Facility		$20.42	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $20.42	Professional		$7.24	$8.32	$20.42