Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $72.44 / $123.03	Facility		$27.54	$72.44	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $37.15	Professional		$10.47	$14.45	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $57.54	Facility		$26.30	$42.66	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $28.84	Professional		$10.72	$16.22	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $40.74	Professional		$16.22	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $112.20	Facility		$16.22	$16.22	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $28.18	Professional		$16.22	$20.42	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $30.20	Facility		$16.22	$16.22	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $53.70	Facility		$15.49	$22.91	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $79.43	Professional		$16.22	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $66.07	Facility		$23.99	$47.86	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $20.42	Professional		$12.02	$16.22	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $25.70	Facility		$19.05	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $22.39	Professional		$6.76	$9.12	$22.39