Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $114.82 / $602.56	Facility		$20.42	$114.82	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.00 / $83.18	Professional		$8.51	$10.00	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $36.31	Facility		$20.42	$33.11	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.45 / $22.39	Professional		$6.61	$14.45	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $31.62	Professional		$12.59	$26.92	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $56.23 / $436.52	Facility		$12.59	$56.23	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.80 / $20.89	Professional		$12.59	$13.80	$20.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $23.44	Facility		$12.59	$12.59	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $37.15	Facility		$11.22	$17.38	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $79.43	Professional		$11.22	$13.80	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $51.29	Facility		$18.62	$37.15	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $14.79	Professional		$9.33	$11.22	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Facility		$14.79	$14.79	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.62 / $14.79	Professional		$5.25	$5.62	$14.79