Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $66.31 / $121.82	Facility		$32.85	$66.31	$121.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.98 / $33.88	Professional		$11.86	$14.98	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $44.59 / $60.81	Facility		$27.53	$44.59	$60.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $30.55	Professional		$12.08	$19.41	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $41.01 / $44.25	Professional		$16.94	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $26.04 / $100.00	Facility		$14.77	$26.04	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $20.32 / $34.08	Professional		$16.94	$20.32	$34.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $22.87 / $44.08	Facility		$16.94	$22.87	$44.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $21.30 / $49.13	Facility		$14.77	$21.30	$49.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $21.18 / $27.73	Professional		$16.94	$21.18	$27.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $52.30 / $69.98	Facility		$33.03	$52.30	$69.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.60 / $41.85	Professional		$15.06	$21.60	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $8.40 / $20.32	Professional		$7.11	$8.40	$20.32