Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $257.04	Facility		$22.91	$51.29	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $89.13	Professional		$12.02	$15.85	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $53.70	Facility		$30.20	$48.98	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $33.11	Professional		$8.91	$18.20	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $46.77	Professional		$18.20	$39.81	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $95.50	Facility		$18.20	$18.20	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $26.92	Professional		$17.78	$21.88	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $34.67	Facility		$18.20	$18.20	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $53.70	Facility		$16.60	$25.70	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $79.43	Professional		$16.60	$20.42	$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 / $16.60 / $21.88	Professional		$13.80	$16.60	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Facility		$21.88	$21.88	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $21.88	Professional		$7.76	$7.76	$21.88