Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $24.71 / $262.42	Facility		$12.16	$24.71	$262.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.17 / $30.60	Professional		$7.76	$15.17	$30.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $25.33 / $44.41	Professional		$17.23	$25.33	$44.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.41 / $43.99	Facility		$11.48	$22.41	$43.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $28.28 / $43.98	Professional		$14.84	$28.28	$43.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $33.50 / $38.19	Facility		$18.09	$33.50	$38.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $24.88 / $47.20	Facility		$12.16	$24.88	$47.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $26.29 / $47.85	Professional		$17.07	$26.29	$47.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $107.54 / $112.87	Facility		$77.00	$107.54	$112.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $28.32 / $48.96	Professional		$15.39	$28.32	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $35.20 / $52.94	Professional		$25.50	$35.20	$52.94