Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $36.47 / $196.77	Facility		$16.94	$36.47	$196.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.64 / $83.78	Professional		$11.36	$12.64	$83.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $34.29 / $46.77	Facility		$21.18	$34.29	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.87 / $23.50	Professional		$9.41	$14.87	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $31.56 / $34.04	Professional		$13.03	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $16.38 / $43.99	Facility		$11.81	$16.38	$43.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $14.98 / $21.46	Professional		$13.03	$14.98	$21.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $17.69 / $28.76	Facility		$13.03	$17.69	$28.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $16.38 / $37.79	Facility		$11.81	$16.38	$37.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $15.64 / $21.32	Professional		$13.03	$15.64	$21.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $40.20 / $53.83	Facility		$25.41	$40.20	$53.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.61 / $32.00	Professional		$11.59	$16.61	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.46 / $15.64	Professional		$5.47	$6.46	$15.64