Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $75.29 / $147.91	Facility		$26.67	$75.29	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.55 / $26.03	Professional		$13.79	$16.55	$26.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $48.40 / $66.04	Facility		$29.88	$48.40	$66.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $21.06 / $32.90	Professional		$13.14	$21.06	$32.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $44.96 / $48.52	Professional		$18.39	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $38.36 / $123.50	Facility		$17.84	$38.36	$123.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.15 / $31.50	Professional		$18.39	$21.15	$31.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $24.83 / $40.60	Facility		$18.39	$24.83	$40.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $23.13 / $53.33	Facility		$16.03	$23.13	$53.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.99 / $30.11	Professional		$18.39	$22.99	$30.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $56.78 / $75.98	Facility		$35.86	$56.78	$75.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.45 / $45.13	Professional		$16.51	$23.45	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.51 / $25.70	Professional		$7.72	$10.51	$25.70