Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $100.00	Facility		$19.05	$35.48	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $21.88	Professional		$10.00	$12.59	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $52.48	Facility		$23.99	$38.02	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $26.30	Professional		$9.55	$14.45	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $38.02	Professional		$14.45	$31.62	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $64.57	Facility		$14.45	$14.45	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $29.51	Professional		$14.45	$18.20	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $29.51	Facility		$14.45	$14.45	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $48.98	Facility		$14.13	$20.89	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $79.43	Professional		$14.45	$18.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $60.26	Facility		$21.88	$43.65	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $18.62	Professional		$10.96	$14.45	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Facility		$17.38	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.32 / $20.42	Professional		$6.17	$8.32	$20.42