Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $47.04 / $147.91	Facility		$21.00	$47.04	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $16.30 / $21.28	Professional		$15.01	$16.30	$21.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $44.23 / $60.34	Facility		$27.30	$44.23	$60.34
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 $16.80 / $41.01 / $44.25	Professional		$16.80	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $21.12 / $55.61	Facility		$15.23	$21.12	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.16 / $33.79	Professional		$16.80	$20.16	$33.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $22.68 / $39.97	Facility		$16.80	$22.68	$39.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $21.12 / $48.72	Facility		$15.23	$21.12	$48.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.16 / $27.52	Professional		$16.80	$20.16	$27.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $51.88 / $69.41	Facility		$32.76	$51.88	$69.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.42 / $41.03	Professional		$15.06	$21.42	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.61 / $23.73	Professional		$7.06	$9.61	$23.73