Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $81.28 / $275.42	Facility		$23.44	$81.28	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.92 / $34.67	Professional		$14.13	$26.92	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $64.57	Facility		$29.51	$47.86	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $32.36	Professional		$12.02	$18.20	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $45.71	Professional		$18.20	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $190.55	Facility		$18.20	$18.20	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $31.62	Professional		$18.20	$24.55	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $34.67	Facility		$18.20	$18.20	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $60.26	Facility		$17.78	$26.30	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $79.43	Professional		$18.20	$22.91	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $54.95 / $74.13	Facility		$26.92	$54.95	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $22.91	Professional		$13.49	$18.20	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $25.12	Professional		$7.59	$10.47	$25.12