Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $89.28 / $172.78	Facility		$27.72	$89.28	$172.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.73 / $33.60	Professional		$11.76	$14.73	$33.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $44.23 / $60.34	Facility		$27.30	$44.23	$60.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $29.96	Professional		$12.08	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $41.01 / $44.25	Professional		$16.80	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $50.82 / $121.44	Facility		$16.30	$50.82	$121.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.32 / $30.45	Professional		$16.80	$19.32	$30.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $22.68 / $37.09	Facility		$16.80	$22.68	$37.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $21.12 / $48.72	Facility		$14.38	$21.12	$48.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.00 / $27.52	Professional		$16.80	$21.00	$27.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $51.88 / $69.41	Facility		$32.76	$51.88	$69.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.42 / $41.03	Professional		$15.06	$21.42	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.61 / $20.16	Professional		$7.06	$9.61	$20.16