Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.11 / $60.26	Facility		$15.85	$33.11	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $83.18	Professional		$8.91	$12.02	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $47.86	Facility		$21.38	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $23.44	Professional		$8.91	$13.18	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $33.88	Professional		$13.18	$28.84	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $30.90	Facility		$13.18	$13.18	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $26.92	Professional		$13.18	$17.78	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $29.51	Facility		$13.18	$13.18	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $44.67	Facility		$12.88	$19.05	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $79.43	Professional		$13.18	$16.60	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $54.95	Facility		$19.95	$39.81	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $16.98	Professional		$10.00	$13.18	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $21.38	Facility		$15.85	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $18.62	Professional		$5.62	$7.59	$18.62