Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $51.84 / $254.32	Facility		$23.00	$51.84	$254.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.62 / $35.34	Professional		$12.88	$15.62	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $48.44 / $53.46	Facility		$29.90	$48.44	$53.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.35 / $32.90	Professional		$9.77	$19.35	$32.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $44.96 / $48.52	Professional		$18.39	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $20.77 / $62.25	Facility		$13.22	$20.77	$62.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $20.23 / $24.84	Professional		$18.39	$20.23	$24.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $20.50 / $40.61	Facility		$18.39	$20.50	$40.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $22.08 / $48.51	Facility		$13.40	$22.08	$48.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $20.23 / $25.76	Professional		$17.47	$20.23	$25.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.88 / $55.99 / $76.02	Facility		$35.88	$55.99	$76.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.23 / $45.13	Professional		$13.80	$17.23	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.73 / $22.08	Professional		$7.72	$7.73	$22.08