Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $354.81 / $691.83	Facility		$15.49	$354.81	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $281.84	Professional		$14.13	$15.14	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $29.51	Facility		$13.80	$20.89	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $38.02	Professional		$14.79	$32.36	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $309.03	Facility		$14.79	$15.49	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $19.05	Professional		$14.79	$15.49	$19.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $30.90	Facility		$14.79	$19.05	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.89 / $37.15	Facility		$14.79	$20.89	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $79.43	Professional		$14.79	$17.38	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $17.78	Professional		$14.79	$14.79	$17.78