Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $79.43	Facility		$22.39	$27.54	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $33.88	Professional		$10.96	$15.85	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $53.70	Facility		$28.84	$46.77	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $31.62	Professional		$10.00	$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 / $24.55	Facility		$17.78	$17.78	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $28.84	Professional		$17.78	$20.89	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $24.55 / $52.48	Facility		$15.85	$24.55	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $79.43	Professional		$15.85	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $21.38	Professional		$13.18	$16.22	$21.38
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 / $8.71 / $21.38	Professional		$7.41	$8.71	$21.38