Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $39.15 / $402.58	Facility		$21.93	$39.15	$402.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.36 / $23.16	Professional		$15.00	$19.36	$23.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $44.43 / $60.56	Facility		$27.43	$44.43	$60.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $30.55	Professional		$12.08	$19.41	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $41.01 / $44.25	Professional		$16.87	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $19.28 / $55.61	Facility		$15.29	$19.28	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $19.39 / $27.67	Professional		$16.87	$19.39	$27.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $20.86 / $37.24	Facility		$16.87	$20.86	$37.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $20.41 / $48.92	Facility		$15.29	$20.41	$48.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $21.09 / $27.61	Professional		$16.87	$21.09	$27.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $52.08 / $69.70	Facility		$32.90	$52.08	$69.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.50 / $41.85	Professional		$15.06	$21.50	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.64 / $20.23	Professional		$7.09	$9.64	$20.23