Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $31.62 / $93.33	Facility		$25.70	$31.62	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $31.62	Professional		$14.13	$19.05	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $74.13	Facility		$33.11	$53.70	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $37.15	Professional		$13.49	$20.42	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $52.48	Professional		$20.42	$43.65	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Facility		$20.42	$20.42	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $40.74	Professional		$20.42	$27.54	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $39.81	Facility		$20.42	$20.42	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $67.61	Facility		$19.95	$29.51	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $79.43	Professional		$20.42	$25.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $85.11	Facility		$30.90	$61.66	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $26.30	Professional		$15.49	$20.42	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $33.11	Facility		$24.55	$24.55	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $28.84	Professional		$8.71	$11.75	$28.84