Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.92 / $165.96	Facility		$13.80	$26.92	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $72.44	Professional		$7.94	$10.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $40.74	Facility		$18.62	$30.20	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $20.42	Professional		$7.59	$11.48	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $28.84	Professional		$11.48	$24.55	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $26.92	Facility		$11.48	$11.48	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $19.50	Professional		$11.48	$14.45	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $21.88	Facility		$11.48	$11.48	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $38.02	Facility		$11.22	$16.60	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $79.43	Professional		$11.48	$14.45	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $47.86	Facility		$17.38	$34.67	$47.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $14.79	Professional		$8.51	$11.48	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Facility		$13.80	$13.80	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $15.85	Professional		$4.79	$6.61	$15.85