Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $51.49 / $372.99	Facility		$18.59	$51.49	$372.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.78 / $25.52	Professional		$18.59	$18.78	$25.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $26.43 / $37.44	Facility		$17.54	$26.43	$37.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $20.17	Professional		$18.59	$18.59	$20.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $40.47 / $49.35	Professional		$18.18	$40.47	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $26.58 / $75.75	Facility		$18.59	$26.58	$75.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.71 / $23.24	Professional		$18.59	$19.71	$23.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $23.24 / $55.77	Facility		$18.59	$23.24	$55.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $26.58 / $39.97	Facility		$18.59	$26.58	$39.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $22.45 / $23.48	Professional		$18.59	$22.45	$23.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $27.87 / $111.67	Facility		$23.70	$27.87	$111.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59