Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $138.04	Facility		$25.70	$38.02	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.05 / $162.18	Professional		$7.94	$19.05	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $58.88	Facility		$33.11	$33.11	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $20.42 / $36.31	Professional		$5.89	$20.42	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $52.48	Professional		$20.42	$43.65	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $26.92	Facility		$20.42	$20.42	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $30.20	Professional		$12.30	$20.42	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $38.90	Facility		$20.42	$20.42	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $60.26	Facility		$13.18	$28.18	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $79.43	Professional		$12.30	$22.39	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $81.28	Facility		$30.90	$60.26	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $24.55	Professional		$9.33	$17.38	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $33.11	Facility		$24.55	$24.55	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.51 / $24.55	Professional		$5.13	$8.51	$24.55