Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $21.93 / $337.69	Facility		$11.15	$21.93	$337.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.31 / $29.85	Professional		$7.76	$15.31	$29.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.54 / $22.54 / $25.83	Professional	25	$22.54	$22.54	$25.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.89 / $7.48 / $15.30	Professional	52	$3.89	$7.48	$15.30
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 / $22.10 / $43.99	Facility		$11.48	$22.10	$43.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $27.54 / $44.30	Professional		$14.84	$27.54	$44.30
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 $11.98 / $23.30 / $47.20	Facility		$11.98	$23.30	$47.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $26.29 / $47.74	Professional		$17.07	$26.29	$47.74
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 $25.00 / $34.68 / $55.01	Professional		$25.00	$34.68	$55.01