Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.90 / $281.84	Facility		$21.38	$38.90	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $26.30	Professional		$12.02	$15.49	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $60.26	Facility		$27.54	$44.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $30.90	Professional		$11.22	$16.98	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $43.65	Professional		$16.98	$37.15	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $38.90	Facility		$16.98	$16.98	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $33.88	Professional		$16.98	$21.38	$33.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $38.02	Facility		$16.98	$16.98	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $56.23	Facility		$16.22	$24.55	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $79.43	Professional		$16.98	$21.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $51.29 / $69.18	Facility		$25.12	$51.29	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $21.38	Professional		$12.59	$16.98	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $26.92	Facility		$20.42	$20.42	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $23.44	Professional		$7.08	$9.55	$23.44