Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $77.62 / $77.62	Facility		$15.85	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Facility		$28.18	$28.18	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $24.55	Professional		$17.38	$19.95	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $44.67	Professional		$17.38	$37.15	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $23.44	Professional		$17.38	$19.05	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Facility		$17.38	$17.38	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $20.89 / $45.71	Facility		$8.91	$20.89	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $79.43	Professional		$17.38	$19.05	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $67.61	Facility		$25.70	$51.29	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $20.89	Professional		$12.88	$15.85	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $20.89	Professional		$7.24	$7.24	$20.89