Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $91.58 / $579.17	Facility		$19.37	$91.58	$579.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $11.45 / $54.60	Professional		$10.34	$11.45	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $31.71 / $43.29	Facility		$19.57	$31.71	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $26.85 / $50.29	Professional		$9.27	$26.85	$50.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $70.04 / $73.70	Professional		$12.05	$70.04	$73.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $20.02 / $47.18	Facility		$13.09	$20.02	$47.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.41 / $25.20	Professional		$12.05	$16.41	$25.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $13.62 / $26.60	Facility		$12.05	$13.62	$26.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.05 / $16.87	Professional		$10.85	$12.05	$16.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $15.30 / $35.54	Facility		$13.09	$15.30	$35.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.06 / $19.73	Professional		$12.05	$15.06	$19.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $37.20 / $49.78	Facility		$23.50	$37.20	$49.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $19.94 / $72.20	Professional		$12.31	$19.94	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.89 / $14.46	Professional		$5.05	$6.89	$14.46