Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $53.25 / $181.26	Facility		$21.59	$53.25	$181.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $23.71 / $64.00	Professional		$16.75	$23.71	$64.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $43.24 / $50.20	Facility		$28.08	$43.24	$50.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $18.59 / $31.14	Professional		$8.69	$18.59	$31.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $41.80 / $45.11	Professional		$17.27	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $20.72 / $36.01	Facility		$8.98	$20.72	$36.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $23.31	Professional		$17.27	$17.27	$23.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $34.53	Facility		$17.27	$18.13	$34.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $24.18 / $43.24	Facility		$18.43	$24.18	$43.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.00 / $24.18	Professional		$16.41	$19.00	$24.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $52.55 / $71.34	Facility		$33.68	$52.55	$71.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $20.47 / $42.67	Professional		$15.35	$20.47	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $20.72	Professional		$7.25	$7.25	$20.72