Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $112.20 / $112.20	Facility		$23.99	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $30.20	Professional		$15.85	$19.05	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $72.44	Facility		$40.74	$40.74	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $66.07	Professional		$25.12	$53.70	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Facility		$25.12	$25.12	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $34.67	Professional		$20.89	$27.54	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $43.65	Facility		$22.39	$27.54	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $66.07	Facility		$22.39	$34.67	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $79.43	Professional		$25.12	$30.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $97.72	Facility		$43.65	$75.86	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $30.20	Professional		$19.95	$21.38	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Facility		$30.20	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $30.20	Professional		$10.47	$10.47	$30.20