Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $77.62 / $141.25	Facility		$25.70	$77.62	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $33.88	Professional		$12.59	$15.14	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $60.26	Facility		$28.84	$46.77	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $32.36	Professional		$11.22	$17.78	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $45.71	Professional		$17.78	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $95.50	Facility		$17.78	$17.78	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $28.18	Professional		$16.98	$21.38	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $35.48	Facility		$17.78	$17.78	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.70 / $52.48	Facility		$16.22	$25.70	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $79.43	Professional		$16.98	$21.88	$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 / $17.38 / $21.38	Professional		$13.49	$17.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Facility		$21.38	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $23.44	Professional		$7.59	$9.55	$23.44