Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $112.20	Facility		$17.78	$26.92	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $93.33	Professional		$10.00	$12.88	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $51.29	Facility		$23.44	$38.02	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $25.70	Professional		$9.55	$14.45	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.90 / $37.15	Professional		$14.45	$30.90	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Facility		$14.45	$14.45	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $28.84	Professional		$14.45	$18.62	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $31.62	Facility		$14.45	$14.45	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $47.86	Facility		$13.80	$20.42	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $79.43	Professional		$14.45	$17.78	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $58.88	Facility		$21.38	$42.66	$58.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $18.20	Professional		$10.72	$14.45	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Facility		$16.98	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $19.95	Professional		$6.03	$8.13	$19.95