Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $23.85 / $46.06	Facility		$19.73	$23.85	$46.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $15.96 / $89.33	Professional		$14.62	$15.96	$89.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $43.29 / $59.07	Facility		$26.73	$43.29	$59.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $19.00 / $29.37	Professional		$11.72	$19.00	$29.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $40.24 / $43.41	Professional		$16.45	$40.24	$43.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $20.70 / $54.78	Facility		$14.92	$20.70	$54.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $19.73 / $33.11	Professional		$16.45	$19.73	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $20.35 / $38.95	Facility		$16.45	$20.35	$38.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $20.70 / $47.71	Facility		$14.92	$20.70	$47.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $19.73 / $26.94	Professional		$16.45	$19.73	$26.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $50.78 / $67.95	Facility		$32.08	$50.78	$67.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $20.98 / $40.20	Professional		$14.78	$20.98	$40.20
United Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $24.68 / $26.32	Facility		$24.68	$24.68	$26.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.40 / $19.73	Professional		$6.91	$9.40	$19.73