Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $61.10 / $217.55	Facility		$15.00	$61.10	$217.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $13.59 / $307.05	Professional		$12.87	$13.59	$307.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $39.45 / $53.82	Facility		$24.35	$39.45	$53.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $16.93 / $27.02	Professional		$10.83	$16.93	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $36.28 / $39.14	Professional		$14.99	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $15.99 / $32.36	Facility		$12.43	$15.99	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.23 / $29.40	Professional		$14.99	$17.23	$29.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $18.73 / $33.09	Facility		$14.99	$18.73	$33.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $18.14 / $43.47	Facility		$13.07	$18.14	$43.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.98 / $24.54	Professional		$14.99	$17.98	$24.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $46.25 / $61.93	Facility		$29.23	$46.25	$61.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $19.12 / $36.92	Professional		$13.33	$19.12	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.57 / $17.98	Professional		$6.30	$8.57	$17.98