Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $70.79 / $125.89	Facility		$19.95	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $36.31	Professional		$10.00	$12.30	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $48.98	Facility		$22.39	$35.48	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $27.54	Professional		$8.91	$15.85	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $34.67	Professional		$13.49	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $97.72	Facility		$13.49	$33.11	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $25.12	Professional		$12.02	$15.14	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $25.70	Facility		$13.49	$13.49	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $45.71	Facility		$12.30	$19.05	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $79.43	Professional		$12.02	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $56.23	Facility		$20.42	$40.74	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $16.22	Professional		$8.91	$11.48	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Facility		$16.22	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $19.05	Professional		$5.75	$7.76	$19.05