Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $52.59 / $277.20	Facility		$20.07	$52.59	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.32 / $19.00	Professional		$11.88	$12.32	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $36.45 / $49.69	Facility		$22.50	$36.45	$49.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.11 / $24.67	Professional		$9.94	$16.11	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $33.90 / $36.59	Professional		$13.84	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $17.39 / $46.48	Facility		$12.06	$17.39	$46.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $15.92 / $23.35	Professional		$13.84	$15.92	$23.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $18.68 / $30.55	Facility		$13.84	$18.68	$30.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $17.39 / $40.14	Facility		$12.06	$17.39	$40.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.61 / $22.64	Professional		$13.84	$16.61	$22.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $42.70 / $57.18	Facility		$26.99	$42.70	$57.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $17.63 / $34.46	Professional		$12.46	$17.63	$34.46
United Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $20.76 / $22.14	Facility		$20.76	$20.76	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $16.61	Professional		$5.81	$5.81	$16.61