Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $309.03	Facility		$13.49	$25.12	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $15.85	Professional		$7.94	$9.77	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $38.90	Facility		$17.38	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.72 / $19.50	Professional		$7.24	$10.72	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $27.54	Professional		$10.72	$22.91	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $22.39	Facility		$10.72	$10.72	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $21.88	Professional		$10.72	$13.80	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $24.55	Facility		$10.72	$10.72	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $35.48	Facility		$10.47	$15.49	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $79.43	Professional		$10.72	$13.49	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $44.67	Facility		$16.22	$32.36	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $13.80	Professional		$8.13	$10.72	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $17.38	Facility		$12.88	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.17 / $15.14	Professional		$4.57	$6.17	$15.14