Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $74.13	Facility		$20.42	$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 $26.92 / $43.65 / $50.12	Facility		$26.92	$43.65	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $29.51	Professional		$9.12	$16.60	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.48 / $41.69	Professional		$16.60	$35.48	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $22.91	Facility		$16.60	$16.60	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $23.99	Professional		$16.60	$19.05	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $30.90	Facility		$16.60	$16.60	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.99 / $48.98	Facility		$14.79	$23.99	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $79.43	Professional		$14.79	$19.05	$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 / $15.14 / $19.95	Professional		$12.30	$15.14	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $19.95	Professional		$6.92	$7.94	$19.95