Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $138.04	Facility		$28.18	$54.95	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $42.66	Professional		$16.98	$19.95	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $79.43	Facility		$36.31	$58.88	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $69.18	Professional		$17.38	$25.70	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $87.10 / $100.00	Professional		$22.39	$87.10	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $117.49	Facility		$22.39	$22.39	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $61.66	Professional		$20.89	$30.20	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $24.55 / $60.26	Facility		$22.39	$24.55	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $26.92	Professional		$19.95	$22.39	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $67.61	Facility		$21.88	$32.36	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $69.18	Professional		$22.39	$31.62	$69.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $93.33	Facility		$33.88	$67.61	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $28.18	Professional		$16.60	$22.39	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $30.90	Professional		$9.33	$12.88	$30.90