Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $28.74 / $55.50	Facility		$23.78	$28.74	$55.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.23 / $86.29	Professional		$19.02	$19.23	$86.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $52.16 / $57.57	Facility		$32.20	$52.16	$57.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $20.87 / $35.83	Professional		$11.37	$20.87	$35.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $48.13 / $51.91	Professional		$19.82	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $21.15 / $53.12	Facility		$14.43	$21.15	$53.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $21.67 / $32.00	Professional		$19.82	$21.67	$32.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $22.39 / $43.75	Facility		$19.82	$22.39	$43.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $23.98 / $57.14	Facility		$14.43	$23.98	$57.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $21.80 / $27.75	Professional		$19.82	$21.80	$27.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $60.31 / $81.88	Facility		$38.65	$60.31	$81.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $20.28 / $49.23	Professional		$16.25	$20.28	$49.23
United Facility/Professional Facility Modifier Low / Median / High Price $29.73 / $29.73 / $31.71	Facility		$29.73	$29.73	$31.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.09 / $23.78	Professional		$8.32	$9.09	$23.78