Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $67.61 / $213.80	Facility		$19.50	$67.61	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $309.03	Professional		$12.88	$13.49	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $53.70	Facility		$24.55	$39.81	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.92	Professional		$10.00	$15.14	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $38.90	Professional		$15.14	$32.36	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $114.82	Facility		$15.14	$15.14	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.20	Professional		$15.14	$18.20	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Facility		$15.14	$15.14	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.38 / $44.67	Facility		$13.49	$21.38	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $79.43	Professional		$15.14	$18.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $61.66	Facility		$22.39	$44.67	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $19.05	Professional		$11.22	$15.14	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Facility		$17.78	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $17.78	Professional		$6.31	$8.51	$17.78