Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $61.66 / $117.49	Facility		$19.50	$61.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $28.84	Professional		$12.02	$14.79	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $58.88	Facility		$26.92	$43.65	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $29.51	Professional		$10.96	$16.60	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.48 / $41.69	Professional		$16.60	$35.48	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $85.11	Facility		$16.60	$16.60	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $31.62	Professional		$15.85	$19.95	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $30.90	Facility		$16.60	$16.60	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $54.95	Facility		$15.85	$23.44	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $79.43	Professional		$16.60	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $67.61	Facility		$24.55	$48.98	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $20.89	Professional		$12.30	$16.60	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $22.91	Professional		$6.92	$9.33	$22.91