Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $102.96 / $271.17	Facility		$24.56	$102.96	$271.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $15.09 / $29.52	Professional		$14.56	$15.09	$29.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $44.59 / $60.81	Facility		$27.53	$44.59	$60.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $30.55	Professional		$12.08	$19.41	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $41.01 / $44.25	Professional		$16.94	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $21.30 / $56.44	Facility		$14.77	$21.30	$56.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $20.32 / $34.08	Professional		$16.94	$20.32	$34.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $23.01 / $38.95	Facility		$16.94	$23.01	$38.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $21.30 / $49.13	Facility		$14.77	$21.30	$49.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $20.32 / $27.73	Professional		$16.94	$20.32	$27.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $52.30 / $69.98	Facility		$33.03	$52.30	$69.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.60 / $41.85	Professional		$15.06	$21.60	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.68 / $20.32	Professional		$7.11	$9.68	$20.32