Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $74.13	Facility		$19.50	$25.12	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $25.12	Professional		$10.96	$15.14	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $58.88	Facility		$26.30	$42.66	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $29.51	Professional		$10.72	$16.22	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $35.48 / $41.69	Professional		$16.22	$35.48	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $22.91	Facility		$16.22	$16.22	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $33.11	Professional		$16.22	$21.88	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $36.31	Facility		$16.22	$16.22	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $53.70	Facility		$15.85	$23.44	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $79.43	Professional		$16.22	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $67.61	Facility		$24.55	$48.98	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $20.89	Professional		$12.30	$16.22	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $26.30	Facility		$19.50	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $22.91	Professional		$6.92	$9.33	$22.91