Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $82.65 / $152.19	Facility		$22.08	$82.65	$152.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.35 / $26.39	Professional		$10.56	$13.35	$26.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $39.69 / $54.10	Facility		$24.50	$39.69	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $17.35 / $27.02	Professional		$10.83	$17.35	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $37.07 / $40.00	Professional		$15.08	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $31.45 / $124.51	Facility		$13.14	$31.45	$124.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $17.34 / $30.33	Professional		$15.08	$17.34	$30.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $20.36 / $38.95	Facility		$15.08	$20.36	$38.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $18.95 / $43.73	Facility		$13.14	$18.95	$43.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $18.10 / $24.67	Professional		$15.08	$18.10	$24.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $46.53 / $62.30	Facility		$29.41	$46.53	$62.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.22 / $36.92	Professional		$13.61	$19.22	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.61 / $18.10	Professional		$6.33	$8.61	$18.10