Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $81.28 / $83.18	Facility		$16.98	$81.28	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $21.88	Professional		$12.02	$12.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $53.70	Facility		$30.20	$30.20	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $26.30	Professional		$18.20	$20.89	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $46.77	Professional		$18.20	$39.81	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $25.12	Professional		$18.20	$20.42	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $25.70	Facility		$18.20	$18.20	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $48.98	Facility		$9.55	$21.88	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $79.43	Professional		$18.20	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $53.70 / $72.44	Facility		$27.54	$53.70	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $21.88	Professional		$13.80	$16.60	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Facility		$21.88	$21.88	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $21.88	Professional		$7.76	$7.76	$21.88