Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.20 / $165.96	Facility		$16.22	$30.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $25.12	Professional		$7.94	$12.02	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $45.71	Facility		$20.89	$33.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $22.91	Professional		$8.51	$12.88	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $33.11	Professional		$12.88	$28.18	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $24.55	Facility		$12.88	$12.88	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $21.88	Professional		$12.88	$16.22	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $24.55	Facility		$12.88	$12.88	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $38.90	Facility		$11.75	$18.62	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $79.43	Professional		$12.88	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $53.70	Facility		$19.50	$38.90	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $16.60	Professional		$9.55	$12.88	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $20.42	Facility		$15.49	$15.49	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $17.78	Professional		$5.37	$7.41	$17.78