Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $47.86 / $91.20	Facility		$25.12	$47.86	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $30.90	Professional		$12.88	$18.20	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $66.07	Facility		$33.11	$52.48	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.95 / $36.31	Professional		$11.48	$19.95	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $51.29	Professional		$19.95	$43.65	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $28.84	Professional		$19.95	$22.91	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $38.02	Facility		$19.95	$19.95	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $58.88	Facility		$19.50	$28.18	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $39.81	Professional		$18.20	$22.91	$39.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $83.18	Facility		$30.20	$60.26	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $25.12	Professional		$15.14	$19.05	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Facility		$23.99	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $23.99	Professional		$8.51	$10.47	$23.99