Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.90 / $131.83	Facility		$20.89	$38.90	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $33.11	Professional		$11.75	$15.14	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $60.26	Facility		$26.92	$43.65	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $30.20	Professional		$10.96	$16.60	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $42.66	Professional		$16.60	$36.31	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $38.90	Facility		$16.60	$16.60	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $33.88	Professional		$16.60	$20.89	$33.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $33.88	Facility		$16.60	$16.60	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $56.23	Facility		$16.22	$23.99	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $79.43	Professional		$16.60	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $69.18	Facility		$25.12	$50.12	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $21.38	Professional		$12.59	$16.60	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Facility		$19.95	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $23.44	Professional		$7.08	$9.55	$23.44