Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $48.98 / $190.55	Facility		$15.85	$48.98	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $79.43	Professional		$8.91	$14.45	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $43.65	Facility		$19.95	$32.36	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $22.39	Professional		$7.94	$12.30	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $31.62	Professional		$12.30	$26.92	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $48.98	Facility		$12.30	$12.30	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $20.89	Professional		$12.30	$15.49	$20.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $23.44	Facility		$12.30	$12.30	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $39.81	Facility		$11.75	$17.78	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $79.43	Professional		$12.02	$15.49	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $51.29	Facility		$18.62	$37.15	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $15.49	Professional		$9.33	$12.30	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Facility		$14.79	$14.79	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $16.98	Professional		$7.41	$9.77	$16.98