Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $81.28	Facility		$22.39	$27.54	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $28.18	Professional		$12.02	$18.20	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $74.13	Facility		$29.51	$47.86	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $32.36	Professional		$13.80	$18.20	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $45.71	Professional		$18.20	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $25.12	Facility		$18.20	$18.20	$25.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $35.48	Professional		$18.20	$22.39	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $33.88	Facility		$18.20	$18.20	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $69.18	Facility		$17.38	$26.30	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $79.43	Professional		$18.20	$22.39	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $26.30	Professional		$13.49	$18.20	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $25.70	Professional		$7.59	$12.02	$25.70