Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $47.47 / $218.50	Facility		$24.75	$47.47	$218.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $18.47 / $122.43	Professional		$16.57	$18.47	$122.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $50.14 / $68.34	Facility		$30.95	$50.14	$68.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $21.89 / $34.07	Professional		$13.68	$21.89	$34.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $46.55 / $50.21	Professional		$19.04	$46.55	$50.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $20.32 / $63.91	Facility		$17.21	$20.32	$63.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.82 / $32.21	Professional		$19.04	$21.82	$32.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $25.70 / $46.13	Facility		$19.04	$25.70	$46.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $23.04 / $55.22	Facility		$17.26	$23.04	$55.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.16 / $27.51	Professional		$19.04	$21.16	$27.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $58.78 / $78.66	Facility		$37.13	$58.78	$78.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.42 / $46.77	Professional		$16.37	$20.42	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.88 / $22.85	Professional		$8.00	$10.88	$22.85