Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $81.28 / $81.28	Facility		$16.98	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $20.89	Professional		$10.96	$12.88	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $52.48	Facility		$29.51	$29.51	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $25.70	Professional		$14.45	$18.20	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $45.71	Professional		$18.20	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Facility		$18.20	$18.20	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $26.30	Professional		$18.20	$19.95	$26.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $28.18	Facility		$16.22	$19.95	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $52.48	Facility		$17.38	$25.12	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $79.43	Professional		$17.38	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $53.70 / $70.79	Facility		$31.62	$53.70	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $21.88	Professional		$13.49	$16.60	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $21.88	Professional		$7.59	$7.59	$21.88