Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $72.22 / $110.97	Facility		$28.06	$72.22	$110.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $34.58	Professional		$14.32	$17.42	$34.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $50.95 / $69.47	Facility		$31.45	$50.95	$69.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $22.30 / $34.65	Professional		$13.85	$22.30	$34.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $47.34 / $51.07	Professional		$19.35	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $20.65 / $59.32	Facility		$17.55	$20.65	$59.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $22.25 / $31.57	Professional		$19.35	$22.25	$31.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $26.12 / $42.72	Facility		$19.35	$26.12	$42.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $23.41 / $56.12	Facility		$17.55	$23.41	$56.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $24.19 / $31.68	Professional		$19.35	$24.19	$31.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $59.75 / $79.94	Facility		$37.72	$59.75	$79.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.67 / $47.59	Professional		$17.38	$24.67	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.06 / $23.22	Professional		$8.13	$11.06	$23.22