Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $52.48 / $131.83	Facility		$16.22	$52.48	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $69.18	Professional		$7.94	$10.23	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $40.74	Facility		$18.20	$29.51	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $19.95	Professional		$7.41	$11.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $24.55 / $28.84	Professional		$11.22	$24.55	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $89.13	Facility		$11.22	$11.22	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $22.91	Professional		$11.22	$14.13	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $25.12	Facility		$11.22	$11.22	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $37.15	Facility		$10.96	$16.22	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $79.43	Professional		$11.22	$14.13	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $46.77	Facility		$16.98	$33.88	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $14.45	Professional		$8.51	$11.22	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $18.20	Facility		$13.49	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $15.85	Professional		$4.68	$6.46	$15.85