Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $63.10 / $562.34	Facility		$20.42	$63.10	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $32.36	Professional		$12.02	$15.14	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $58.88	Facility		$26.92	$43.65	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $29.51	Professional		$10.72	$16.60	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.48 / $41.69	Professional		$16.60	$35.48	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $40.74	Facility		$16.60	$16.60	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $33.11	Professional		$16.60	$20.42	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $36.31	Facility		$16.60	$16.60	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $58.88	Facility		$15.85	$23.44	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $79.43	Professional		$16.60	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $67.61	Facility		$24.55	$48.98	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $20.89	Professional		$12.30	$16.60	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $22.91	Professional		$6.92	$9.33	$22.91