Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $40.08 / $625.67	Facility		$21.09	$40.08	$625.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $16.36 / $22.44	Professional		$14.67	$16.36	$22.44
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 / $21.21 / $59.14	Facility		$15.29	$21.21	$59.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $19.39 / $29.46	Professional		$16.87	$19.39	$29.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $22.77 / $37.24	Facility		$16.87	$22.77	$37.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $21.21 / $49.04	Facility		$15.29	$21.21	$49.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $20.23 / $27.61	Professional		$16.87	$20.23	$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 / $7.09 / $20.23	Professional		$7.09	$7.09	$20.23