Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $64.29 / $190.00	Facility		$17.73	$64.29	$190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $18.73	Professional		$9.61	$13.32	$18.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $38.92 / $53.09	Facility		$24.03	$38.92	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.93 / $26.44	Professional		$10.66	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $36.28 / $39.14	Professional		$14.78	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.59 / $49.80	Facility		$13.42	$18.59	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $17.00 / $29.75	Professional		$14.78	$17.00	$29.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $19.95 / $33.82	Facility		$14.78	$19.95	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.59 / $42.86	Facility		$13.42	$18.59	$42.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $18.48 / $24.20	Professional		$14.78	$18.48	$24.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $45.63 / $61.06	Facility		$28.82	$45.63	$61.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.86 / $36.10	Professional		$13.33	$18.86	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.44 / $17.73	Professional		$6.21	$8.44	$17.73