Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $566.45 / $1,483.50	Facility		$21.59	$566.45	$1,483.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.82 / $667.15	Professional		$18.10	$21.82	$667.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $24.63 / $34.46	Facility		$17.07	$24.63	$34.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $19.64	Professional		$18.11	$18.11	$19.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $39.77 / $46.07	Professional		$17.86	$39.77	$46.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $25.90 / $40.42	Facility		$18.11	$25.90	$40.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $19.19 / $23.54	Professional		$18.11	$19.19	$23.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $22.54 / $37.67	Facility		$18.03	$22.54	$37.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $19.17 / $34.46	Facility		$18.05	$19.17	$34.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.64 / $22.09	Professional		$13.73	$19.64	$22.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $27.75 / $60.10	Facility		$16.37	$27.75	$60.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11