Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.11 / $229.09	Facility		$32.36	$85.11	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $53.70	Professional		$16.98	$21.38	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $87.10	Facility		$38.90	$63.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $43.65	Professional		$15.85	$23.99	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $61.66	Professional		$23.99	$52.48	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $134.90	Facility		$23.99	$28.84	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $39.81	Professional		$20.89	$27.54	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $45.71	Facility		$23.99	$23.99	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.11 / $70.79	Facility		$23.44	$33.11	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $79.43	Professional		$23.99	$30.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $100.00	Facility		$36.31	$72.44	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $30.90	Professional		$18.20	$23.99	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Facility		$28.84	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $33.88	Professional		$10.00	$13.80	$33.88