Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $45.53 / $115.81	Facility		$18.22	$45.53	$115.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $14.17 / $22.32	Professional		$13.48	$14.17	$22.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $42.81 / $58.38	Facility		$26.43	$42.81	$58.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $18.59 / $29.37	Professional		$11.72	$18.59	$29.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $39.45 / $42.56	Professional		$16.26	$39.45	$42.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $20.45 / $53.95	Facility		$14.17	$20.45	$53.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $18.70 / $32.54	Professional		$16.26	$18.70	$32.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $21.95 / $35.89	Facility		$16.26	$21.95	$35.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $20.45 / $47.15	Facility		$14.17	$20.45	$47.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $20.32 / $26.62	Professional		$16.26	$20.32	$26.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $50.18 / $67.18	Facility		$31.71	$50.18	$67.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.73 / $40.20	Professional		$14.48	$20.73	$40.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.28 / $19.51	Professional		$6.83	$9.28	$19.51