Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $31.79 / $121.06	Facility		$15.94	$31.79	$121.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $56.56	Professional		$12.37	$12.37	$56.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $33.57 / $41.78	Facility		$20.73	$33.57	$41.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $14.46 / $22.91	Professional		$8.35	$14.46	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $30.77 / $33.18	Professional		$12.75	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $13.80 / $28.30	Facility		$9.19	$13.80	$28.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.30 / $23.41	Professional		$12.75	$15.30	$23.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $15.30 / $39.97	Facility		$12.75	$15.30	$39.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $15.30 / $34.85	Facility		$12.75	$15.30	$34.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.05 / $19.04	Professional		$12.75	$15.05	$19.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $38.79 / $52.68	Facility		$24.86	$38.79	$52.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.83 / $31.18	Professional		$11.30	$14.83	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.65 / $16.26	Professional		$5.36	$6.65	$16.26