Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $91.20	Facility		$26.30	$57.54	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $38.90	Professional		$15.14	$18.20	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $72.44	Facility		$33.11	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $36.31	Professional		$13.49	$20.42	$36.31
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 / $57.54	Facility		$20.42	$20.42	$57.54
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 / $44.67	Facility		$20.42	$20.42	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.51 / $67.61	Facility		$19.50	$29.51	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $79.43	Professional		$20.42	$25.12	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $83.18	Facility		$30.20	$60.26	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $25.70	Professional		$15.14	$20.42	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Facility		$24.55	$24.55	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $28.18	Professional		$8.51	$11.48	$28.18