Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $56.74 / $284.72	Facility		$16.42	$56.74	$284.72
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $73.67 / $145.00 / $362.62	Facility	25	$73.67	$145.00	$362.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $23.74 / $59.66	Professional		$8.42	$23.74	$59.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.17 / $30.70 / $74.00	Professional	25	$17.17	$30.70	$74.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $30.10	Facility		$11.66	$11.66	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $25.86 / $61.71	Professional		$13.79	$25.86	$61.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.39 / $59.12	Professional		$16.60	$24.39	$59.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $23.35 / $48.97	Facility		$10.86	$23.35	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $30.60 / $56.47	Professional		$13.92	$30.60	$56.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $38.49 / $46.90	Facility		$17.88	$38.49	$46.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $24.43 / $54.60	Facility		$10.86	$24.43	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $28.83 / $59.24	Professional		$16.64	$28.83	$59.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.55 / $18.55	Facility		$18.55	$18.55	$18.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $27.71 / $60.72	Professional		$15.21	$27.71	$60.72
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $42.90 / $70.09	Professional		$29.12	$42.90	$70.09