Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $153.79 / $520.08	Facility		$37.35	$153.79	$520.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $66.30 / $146.34	Professional		$15.98	$66.30	$146.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $47.18 / $64.39	Facility		$29.13	$47.18	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $20.65 / $32.31	Professional		$12.79	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $43.38 / $46.80	Professional		$17.93	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $24.61 / $60.59	Facility		$15.64	$24.61	$60.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $20.62 / $31.50	Professional		$17.93	$20.62	$31.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $24.35 / $39.58	Facility		$17.93	$24.35	$39.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $21.52 / $52.00	Facility		$15.64	$21.52	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $21.52 / $26.22	Professional		$17.93	$21.52	$26.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $55.35 / $74.08	Facility		$34.96	$55.35	$74.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.42 / $44.31	Professional		$15.93	$20.42	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.25 / $21.52	Professional		$7.53	$10.25	$21.52