Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $96.71 / $550.76	Facility		$25.04	$96.71	$550.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.50 / $36.27	Professional		$12.48	$23.50	$36.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $43.24 / $50.20	Facility		$28.08	$43.24	$50.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.82 / $31.14	Professional		$9.67	$19.82	$31.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $41.80 / $45.11	Professional		$17.27	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $17.27 / $36.01	Facility		$8.98	$17.27	$36.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.86 / $23.49	Professional		$17.27	$19.86	$23.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $19.00 / $25.91	Facility		$17.27	$19.00	$25.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $20.72 / $43.99	Facility		$12.58	$20.72	$43.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.00 / $24.18	Professional		$16.41	$19.00	$24.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $52.55 / $71.34	Facility		$33.68	$52.55	$71.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $20.47 / $42.67	Professional		$15.35	$20.47	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $20.72	Professional		$7.25	$7.25	$20.72