Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $53.38 / $97.68	Facility		$19.89	$53.38	$97.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $14.39 / $22.53	Professional		$13.83	$14.39	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $41.92 / $57.14	Facility		$25.88	$41.92	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $18.17 / $28.79	Professional		$11.37	$18.17	$28.79
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.01 / $15.01	Professional		$15.01	$15.01	$15.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $38.65 / $41.70	Professional		$15.92	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $22.08 / $67.20	Facility		$14.42	$22.08	$67.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $17.51 / $22.53	Professional		$15.92	$17.51	$22.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $16.72 / $35.14	Facility		$15.92	$16.72	$35.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $20.00 / $46.17	Facility		$14.42	$20.00	$46.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $19.10 / $26.04	Professional		$15.92	$19.10	$26.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $49.10 / $65.77	Facility		$31.04	$49.10	$65.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.28 / $39.38	Professional		$14.19	$20.28	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.99 / $22.22	Professional		$9.55	$12.99	$22.22