Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $97.72 / $165.96	Facility		$22.39	$97.72	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $25.70	Professional		$12.59	$13.18	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $52.48	Facility		$23.44	$38.02	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $25.70	Professional		$9.55	$14.45	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $38.02	Professional		$14.45	$31.62	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $131.83	Facility		$14.45	$14.45	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $29.51	Professional		$14.45	$18.20	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $33.11	Facility		$14.45	$14.45	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $46.77	Facility		$14.13	$20.89	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $79.43	Professional		$14.45	$18.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $60.26	Facility		$21.88	$43.65	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $18.62	Professional		$10.96	$14.45	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Facility		$17.38	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.32 / $20.42	Professional		$6.17	$8.32	$20.42