Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $77.62 / $134.90	Facility		$28.18	$77.62	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $34.67	Professional		$12.88	$16.60	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $66.07	Facility		$30.20	$47.86	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $33.11	Professional		$12.02	$18.20	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $46.77	Professional		$18.20	$39.81	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $120.23	Facility		$18.20	$18.20	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.11	Professional		$18.20	$22.91	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $34.67	Facility		$18.20	$18.20	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $61.66	Facility		$17.78	$26.30	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $79.43	Professional		$18.20	$22.91	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $54.95 / $75.86	Facility		$27.54	$54.95	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $23.44	Professional		$13.80	$18.20	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Facility		$21.88	$21.88	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $25.70	Professional		$7.76	$10.47	$25.70