Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $42.66 / $74.01	Facility		$23.35	$42.66	$74.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $18.12 / $28.95	Professional		$16.27	$18.12	$28.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $49.17 / $67.13	Facility		$30.35	$49.17	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.48 / $33.49	Professional		$13.50	$21.48	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $45.75 / $49.35	Professional		$18.68	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $19.93 / $38.96	Facility		$16.95	$19.93	$38.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $21.48 / $31.57	Professional		$18.68	$21.48	$31.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $25.22 / $41.24	Facility		$18.68	$25.22	$41.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $22.42 / $54.17	Facility		$16.95	$22.42	$54.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $22.42 / $30.60	Professional		$18.68	$22.42	$30.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $57.68 / $77.17	Facility		$36.43	$57.68	$77.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.83 / $45.95	Professional		$16.80	$23.83	$45.95
United Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $28.02 / $29.89	Facility		$28.02	$28.02	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.68 / $22.42	Professional		$7.85	$10.68	$22.42