Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $306.49 / $611.73	Facility		$15.49	$306.49	$611.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.32 / $280.00	Professional		$14.73	$15.32	$280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $20.81 / $29.42	Facility		$13.90	$20.81	$29.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.98	Professional		$14.73	$14.73	$15.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $35.49 / $38.31	Professional		$14.73	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $23.23 / $33.74	Facility		$14.73	$23.23	$33.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.61 / $18.41	Professional		$14.73	$15.61	$18.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $19.11 / $44.19	Facility		$14.70	$19.11	$44.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $20.81 / $33.74	Facility		$14.73	$20.81	$33.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.89 / $23.00	Professional		$14.73	$17.89	$23.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.94	Professional		$14.73	$14.73	$16.94