Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $109.65	Facility		$30.20	$37.15	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $37.15	Professional		$16.98	$22.91	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $87.10	Facility		$39.81	$64.57	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $43.65	Professional		$16.22	$24.55	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $63.10	Professional		$24.55	$52.48	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Facility		$24.55	$24.55	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $48.98	Professional		$24.55	$30.20	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $63.10	Facility		$24.55	$24.55	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $81.28	Facility		$23.44	$34.67	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $79.43	Professional		$24.55	$30.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $100.00	Facility		$36.31	$72.44	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $30.90	Professional		$18.20	$24.55	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Facility		$28.84	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $33.88	Professional		$10.23	$13.80	$33.88