Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $113.08 / $292.60	Facility		$26.30	$113.08	$292.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $30.86 / $32.92	Professional		$15.70	$30.86	$32.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $47.75 / $65.15	Facility		$29.48	$47.75	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.65 / $32.31	Professional		$12.96	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $44.17 / $47.66	Professional		$18.14	$44.17	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $25.17 / $79.54	Facility		$15.81	$25.17	$79.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.86 / $29.75	Professional		$18.14	$20.86	$29.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $24.30 / $40.04	Facility		$18.14	$24.30	$40.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $22.82 / $52.61	Facility		$15.81	$22.82	$52.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.77 / $29.70	Professional		$18.14	$21.77	$29.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $56.00 / $74.94	Facility		$35.36	$56.00	$74.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.12 / $44.31	Professional		$16.22	$23.12	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $8.99 / $21.77	Professional		$7.62	$8.99	$21.77