Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $39.90 / $129.91	Facility		$21.50	$39.90	$129.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $16.68 / $22.88	Professional		$14.99	$16.68	$22.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $45.28 / $61.80	Facility		$27.95	$45.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $19.82 / $31.14	Professional		$12.43	$19.82	$31.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $41.80 / $45.11	Professional		$17.20	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $17.20 / $57.27	Facility		$11.09	$17.20	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $17.20 / $28.21	Professional		$9.84	$17.20	$28.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $23.22 / $51.25	Facility		$17.20	$23.22	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $20.64 / $49.88	Facility		$15.60	$20.64	$49.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $18.92 / $24.60	Professional		$9.92	$18.92	$24.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $52.34 / $71.06	Facility		$33.54	$52.34	$71.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $15.65 / $42.67	Professional		$7.39	$15.65	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.83 / $20.64	Professional		$7.22	$9.83	$20.64