Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $36.40 / $130.02	Facility		$19.14	$36.40	$130.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $14.86 / $22.21	Professional		$13.16	$14.86	$22.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $40.34 / $55.02	Facility		$24.90	$40.34	$55.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $17.35 / $27.61	Professional		$11.01	$17.35	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $37.07 / $40.00	Professional		$15.32	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $19.27 / $51.46	Facility		$13.36	$19.27	$51.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.62 / $24.65	Professional		$15.32	$17.62	$24.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $20.81 / $33.82	Facility		$15.32	$20.81	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $19.27 / $44.43	Facility		$13.36	$19.27	$44.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.14 / $25.09	Professional		$15.32	$19.14	$25.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $47.30 / $63.29	Facility		$29.87	$47.30	$63.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.53 / $37.74	Professional		$13.61	$19.53	$37.74
United Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $15.32	Facility		$9.63	$9.63	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.76 / $18.38	Professional		$6.43	$8.76	$18.38