Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $37.52 / $219.32	Facility		$19.57	$37.52	$219.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $25.24 / $39.11	Professional		$13.14	$25.24	$39.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $39.61 / $54.06	Facility		$24.45	$39.61	$54.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $17.35 / $27.02	Professional		$10.83	$17.35	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $37.07 / $40.00	Professional		$15.05	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $18.93 / $50.63	Facility		$13.13	$18.93	$50.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $18.05 / $30.28	Professional		$15.05	$18.05	$30.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $20.32 / $38.95	Facility		$15.05	$20.32	$38.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $18.93 / $43.65	Facility		$13.13	$18.93	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $18.80 / $24.65	Professional		$15.05	$18.80	$24.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $46.48 / $62.18	Facility		$29.35	$46.48	$62.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.20 / $36.92	Professional		$13.61	$19.20	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.61 / $18.05	Professional		$6.32	$8.61	$18.05