Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $30.74 / $318.25	Facility		$17.23	$30.74	$318.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.80 / $16.79	Professional		$11.47	$11.80	$16.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $34.86 / $47.58	Facility		$21.53	$34.86	$47.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.28 / $23.50	Professional		$9.59	$15.28	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $32.35 / $34.90	Professional		$13.25	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $16.66 / $44.82	Facility		$11.55	$16.66	$44.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.24 / $26.65	Professional		$13.25	$15.24	$26.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $17.89 / $33.82	Facility		$13.25	$17.89	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $16.66 / $38.43	Facility		$11.55	$16.66	$38.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $16.55 / $21.70	Professional		$13.25	$16.55	$21.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $40.88 / $54.74	Facility		$25.84	$40.88	$54.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.89 / $32.82	Professional		$11.87	$16.89	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.57 / $18.72	Professional		$5.57	$7.57	$18.72