Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $53.70 / $128.82	Facility		$14.13	$53.70	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $72.44	Professional		$7.94	$9.77	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $39.81	Facility		$18.20	$29.51	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $19.95	Professional		$7.41	$11.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.99 / $28.18	Professional		$11.22	$23.99	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $72.44	Facility		$11.22	$11.22	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $19.95	Professional		$11.22	$13.80	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $20.89	Facility		$11.22	$11.22	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.22 / $37.15	Facility		$10.72	$16.22	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $79.43	Professional		$11.22	$13.80	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $45.71	Facility		$16.60	$33.11	$45.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $14.13	Professional		$8.32	$11.22	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $17.78	Facility		$13.49	$13.49	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.31 / $15.49	Professional		$4.68	$6.31	$15.49