Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $131.83	Facility		$25.12	$38.02	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $30.90	Professional		$12.88	$18.20	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $72.44	Facility		$33.11	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $36.31	Professional		$13.49	$20.42	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $51.29	Professional		$20.42	$43.65	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Facility		$20.42	$20.42	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $33.11	Professional		$20.42	$25.12	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $38.02	Facility		$20.42	$20.42	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.84 / $67.61	Facility		$19.50	$28.84	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $79.43	Professional		$20.42	$25.12	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $83.18	Facility		$30.20	$60.26	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $25.70	Professional		$15.14	$20.42	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Facility		$23.99	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $28.18	Professional		$8.51	$11.48	$28.18