Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.07 / $57.00 / $133.05	Facility		$24.07	$57.00	$133.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.08 / $17.04	Professional		$10.79	$11.08	$17.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $32.68 / $44.54	Facility		$20.18	$32.68	$44.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.04 / $22.32	Professional		$8.88	$14.04	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $29.98 / $32.35	Professional		$12.41	$29.98	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $17.22 / $45.60	Facility		$11.25	$17.22	$45.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $14.89 / $24.97	Professional		$12.41	$14.89	$24.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $16.75 / $31.78	Facility		$12.41	$16.75	$31.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $15.61 / $35.99	Facility		$11.25	$15.61	$35.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $14.89 / $20.32	Professional		$12.41	$14.89	$20.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $38.29 / $51.27	Facility		$24.20	$38.29	$51.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.82 / $30.36	Professional		$11.01	$15.82	$30.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.09 / $17.53	Professional		$5.21	$7.09	$17.53