Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $107.15	Facility		$25.70	$44.67	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $36.31	Professional		$15.14	$21.88	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $83.18	Facility		$38.02	$61.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $42.66	Professional		$15.14	$23.44	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $60.26	Professional		$23.44	$51.29	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $48.98	Facility		$23.44	$23.44	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $40.74	Professional		$23.44	$28.18	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $44.67	Facility		$23.44	$23.44	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $77.62	Facility		$21.38	$33.11	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $79.43	Professional		$22.91	$28.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $97.72	Facility		$35.48	$70.79	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $28.18	Professional		$17.78	$21.38	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Facility		$28.18	$28.18	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $32.36	Professional		$10.00	$13.18	$32.36