Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $77.62 / $144.54	Facility		$19.95	$77.62	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $79.43	Professional		$10.96	$11.75	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $45.71	Facility		$20.89	$33.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $22.91	Professional		$8.51	$12.88	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $33.11	Professional		$12.88	$28.18	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $128.82	Facility		$12.88	$12.88	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $21.88	Professional		$10.47	$12.88	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $24.55	Facility		$12.88	$12.88	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $43.65	Facility		$11.48	$17.78	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $79.43	Professional		$10.23	$14.13	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $53.70	Facility		$19.50	$38.90	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $15.49	Professional		$7.76	$10.96	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $20.42	Facility		$15.49	$15.49	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $17.78	Professional		$7.76	$10.47	$17.78