Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $41.54 / $248.29	Facility		$23.27	$41.54	$248.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.71 / $110.00	Professional		$16.00	$20.71	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $47.14 / $64.29	Facility		$29.10	$47.14	$64.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $20.65 / $32.31	Professional		$12.79	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $43.38 / $46.80	Professional		$17.89	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $20.13 / $59.76	Facility		$16.23	$20.13	$59.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.59 / $32.21	Professional		$17.89	$20.59	$32.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $24.17 / $46.13	Facility		$17.89	$24.17	$46.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $21.66 / $51.91	Facility		$16.23	$21.66	$51.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.71 / $26.22	Professional		$17.89	$20.71	$26.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $55.25 / $73.95	Facility		$34.90	$55.25	$73.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.42 / $44.31	Professional		$15.93	$20.42	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.24 / $21.48	Professional		$7.52	$10.24	$21.48