Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $132.60 / $380.00	Facility		$25.22	$132.60	$380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $20.51 / $114.00	Professional		$12.91	$20.51	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $33.47 / $41.31	Professional		$28.45	$33.47	$41.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $28.08 / $40.21	Facility		$15.40	$28.08	$40.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $27.36 / $46.17	Professional		$22.77	$27.36	$46.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $29.48 / $31.49	Facility		$19.86	$29.48	$31.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $28.55 / $40.21	Facility		$15.99	$28.55	$40.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $32.20 / $42.32	Professional		$13.99	$32.20	$42.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $47.44 / $63.79	Facility		$27.00	$47.44	$63.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $34.15 / $43.59	Professional		$24.91	$34.15	$43.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $29.63 / $47.45	Professional		$20.50	$29.63	$47.45