Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $37.78 / $37.78	Facility		$37.78	$37.78	$37.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.53 / $31.04	Professional		$10.55	$13.53	$31.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $29.55 / $29.55	Facility		$29.55	$29.55	$29.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.56 / $27.76	Professional		$8.11	$15.56	$27.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $32.11 / $51.87	Professional		$18.19	$32.11	$51.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $18.64 / $915.12	Facility		$12.81	$18.64	$915.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.19 / $24.56	Professional		$14.53	$18.19	$24.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $18.19 / $39.21	Facility		$17.76	$18.19	$39.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $20.14 / $31.93	Facility		$14.33	$20.14	$31.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $18.30 / $24.69	Professional		$15.56	$18.30	$24.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $31.84 / $55.72	Facility		$31.84	$31.84	$55.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $32.13 / $56.60	Professional		$30.52	$32.13	$56.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $18.18 / $53.84	Professional		$9.07	$18.18	$53.84