Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $46.79 / $111.80	Facility		$21.72	$46.79	$111.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $15.04 / $21.17	Professional		$14.57	$15.04	$21.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $43.98 / $60.00	Facility		$27.15	$43.98	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $29.96	Professional		$12.08	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $41.01 / $44.25	Professional		$16.71	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $21.02 / $55.61	Facility		$15.16	$21.02	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.05 / $33.61	Professional		$16.71	$20.05	$33.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.56 / $36.89	Facility		$16.71	$22.56	$36.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $21.02 / $48.46	Facility		$15.16	$21.02	$48.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.89 / $27.36	Professional		$16.71	$20.89	$27.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $51.58 / $69.04	Facility		$32.58	$51.58	$69.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.30 / $41.03	Professional		$15.06	$21.30	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.55 / $20.05	Professional		$7.02	$9.55	$20.05