Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $50.12 / $134.90	Facility		$23.44	$50.12	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $120.23	Professional		$11.75	$16.98	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $64.57	Facility		$29.51	$47.86	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $32.36	Professional		$12.02	$18.20	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $45.71	Professional		$18.20	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $60.26	Facility		$18.20	$18.20	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $36.31	Professional		$18.20	$22.39	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $37.15	Facility		$18.20	$18.20	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $60.26	Facility		$17.38	$26.30	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $79.43	Professional		$18.20	$22.39	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $22.91	Professional		$13.49	$18.20	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $25.12	Professional		$7.59	$10.23	$25.12