Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $85.11 / $234.42	Facility		$18.20	$85.11	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $75.86	Professional		$10.23	$20.42	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $42.66	Facility		$19.50	$31.62	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $21.88	Professional		$7.94	$12.02	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $30.90	Professional		$12.02	$25.70	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $177.83	Facility		$12.02	$12.02	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $21.88	Professional		$12.02	$16.22	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $22.91	Facility		$12.02	$12.02	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.38 / $39.81	Facility		$11.75	$17.38	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $79.43	Professional		$12.02	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $50.12	Facility		$18.20	$36.31	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $15.14	Professional		$8.91	$12.02	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Facility		$14.45	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $16.60	Professional		$5.01	$6.92	$16.60