Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $97.72 / $549.54	Facility		$26.30	$97.72	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $41.69	Professional		$12.02	$22.91	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Facility		$28.18	$28.18	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.95 / $30.90	Professional		$9.77	$19.95	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $44.67	Professional		$17.38	$37.15	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $239.88	Facility		$17.38	$17.38	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $25.12	Professional		$17.38	$19.95	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $25.70	Facility		$17.38	$18.20	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $51.29	Facility		$16.60	$23.99	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $23.99	Professional		$16.22	$19.05	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $70.79	Facility		$25.70	$51.29	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $20.89	Professional		$12.88	$15.85	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $20.89	Professional		$7.24	$7.24	$20.89