Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $47.09 / $190.00	Facility		$17.85	$47.09	$190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.02 / $78.31	Professional		$10.74	$16.02	$78.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $32.40 / $43.29	Facility		$20.00	$32.40	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $14.04 / $22.32	Professional		$8.69	$14.04	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $29.98 / $32.35	Professional		$12.31	$29.98	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $15.16 / $39.84	Facility		$10.92	$15.16	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $14.16 / $19.85	Professional		$12.31	$14.16	$19.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $16.37 / $27.17	Facility		$12.31	$16.37	$27.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $15.16 / $35.70	Facility		$10.92	$15.16	$35.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $15.39 / $19.73	Professional		$12.31	$15.39	$19.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $37.46 / $50.86	Facility		$24.00	$37.46	$50.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.36 / $30.36	Professional		$11.01	$15.36	$30.36
United Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $18.47 / $19.70	Facility		$18.47	$18.47	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.84 / $16.84	Professional		$7.39	$9.84	$16.84