Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $134.90	Facility		$28.84	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $42.66	Professional		$13.80	$16.98	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $66.07	Facility		$30.20	$48.98	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $33.11	Professional		$12.30	$18.62	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $46.77	Professional		$18.62	$39.81	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $109.65	Facility		$18.62	$21.88	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $40.74	Professional		$16.98	$22.39	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $39.81	Facility		$18.62	$18.62	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $61.66	Facility		$17.78	$26.92	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $79.43	Professional		$18.62	$22.91	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $54.95 / $75.86	Facility		$27.54	$54.95	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $23.44	Professional		$13.80	$18.62	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Facility		$22.39	$22.39	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $22.39	Professional		$7.76	$10.47	$22.39