Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $79.43	Facility		$21.88	$36.31	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $117.49	Professional		$12.88	$16.98	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $63.10	Facility		$28.84	$46.77	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $31.62	Professional		$11.75	$17.78	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.02 / $45.71	Professional		$17.78	$38.02	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $36.31	Facility		$17.78	$17.78	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $35.48	Professional		$17.78	$23.99	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $38.90	Facility		$17.78	$17.78	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $57.54	Facility		$16.98	$25.12	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $79.43	Professional		$17.78	$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 $13.18 / $17.78 / $22.39	Professional		$13.18	$17.78	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.18	Facility		$21.38	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $24.55	Professional		$7.41	$10.00	$24.55