Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $77.62	Facility		$21.88	$32.36	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $26.92	Professional		$12.02	$15.85	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $61.66	Facility		$28.18	$45.71	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $30.90	Professional		$11.48	$17.38	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $44.67	Professional		$17.38	$37.15	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Facility		$17.38	$17.38	$23.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $34.67	Professional		$17.38	$21.88	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $33.88	Facility		$17.38	$17.38	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $52.48	Facility		$15.85	$25.12	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $79.43	Professional		$17.38	$21.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $72.44	Facility		$26.30	$52.48	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $21.88	Professional		$12.88	$17.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $23.99	Professional		$7.24	$10.00	$23.99