Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $56.23 / $186.21	Facility		$19.05	$56.23	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $70.79	Professional		$9.55	$13.18	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $53.70	Facility		$23.99	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $26.30	Professional		$9.77	$14.79	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $38.02	Professional		$14.79	$31.62	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $50.12	Facility		$14.79	$14.79	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $29.51	Professional		$14.79	$18.62	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $32.36	Facility		$14.79	$14.79	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $50.12	Facility		$14.45	$21.38	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $79.43	Professional		$14.79	$18.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $61.66	Facility		$22.39	$44.67	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $19.05	Professional		$10.96	$14.79	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Facility		$17.78	$17.78	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $20.89	Professional		$6.17	$8.51	$20.89