Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $87.30 / $146.09	Facility		$25.98	$87.30	$146.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $15.30 / $26.88	Professional		$14.70	$15.30	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $47.18 / $60.56	Facility		$29.13	$47.18	$60.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $20.65 / $32.31	Professional		$12.08	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $43.38 / $46.80	Professional		$17.92	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $21.21 / $55.61	Facility		$14.00	$21.21	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $20.61 / $27.78	Professional		$17.92	$20.61	$27.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $22.91 / $39.56	Facility		$17.92	$22.91	$39.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $21.50 / $50.82	Facility		$15.29	$21.50	$50.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $21.80 / $27.61	Professional		$17.92	$21.80	$27.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $54.53 / $74.03	Facility		$34.94	$54.53	$74.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $21.50 / $44.31	Professional		$15.93	$21.50	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.64 / $21.50	Professional		$7.53	$9.64	$21.50