Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $24.55 / $70.79	Facility		$19.95	$24.55	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $24.55	Professional		$10.00	$14.13	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $52.48	Facility		$25.70	$41.69	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $28.18	Professional		$9.55	$15.85	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $39.81	Professional		$15.85	$33.88	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $21.88	Facility		$15.85	$15.85	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $24.55	Professional		$15.85	$19.05	$24.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $30.90	Facility		$15.85	$15.85	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $48.98	Facility		$14.13	$22.39	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $79.43	Professional		$14.45	$19.05	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $47.86 / $64.57	Facility		$23.44	$47.86	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $19.05	Professional		$11.75	$14.79	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $25.12	Facility		$19.05	$19.05	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $20.42	Professional		$6.61	$8.32	$20.42