Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $31.15 / $60.14	Facility		$25.78	$31.15	$60.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $20.84 / $116.57	Professional		$19.10	$20.84	$116.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $56.54 / $77.14	Facility		$34.90	$56.54	$77.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $24.37 / $38.77	Professional		$15.45	$24.37	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $52.06 / $56.18	Professional		$21.48	$52.06	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $24.38 / $71.38	Facility		$19.48	$24.38	$71.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $25.78 / $43.21	Professional		$21.48	$25.78	$43.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $29.00 / $51.25	Facility		$21.48	$29.00	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $25.99 / $62.29	Facility		$19.48	$25.99	$62.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.85 / $35.17	Professional		$21.48	$26.85	$35.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $66.30 / $88.74	Facility		$41.89	$66.30	$88.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $27.39 / $53.33	Professional		$19.12	$27.39	$53.33
United Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $21.48	Facility		$13.50	$13.50	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.28 / $30.01	Professional		$9.02	$12.28	$30.01