Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $72.44	Facility		$19.95	$30.20	$72.44
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 / $57.54	Facility		$26.30	$42.66	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $28.84	Professional		$10.72	$16.22	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $40.74	Professional		$16.22	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Facility		$16.22	$16.22	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $32.36	Professional		$16.22	$19.95	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $53.70	Facility		$15.49	$23.44	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $79.43	Professional		$16.22	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $66.07	Facility		$23.99	$47.86	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $20.42	Professional		$12.02	$16.22	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $25.70	Facility		$19.50	$19.50	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $22.39	Professional		$6.76	$9.12	$22.39