Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $69.18	Facility		$19.50	$23.99	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.99	Professional		$10.00	$14.13	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $51.29	Facility		$25.12	$40.74	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $27.54	Professional		$9.33	$15.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $39.81	Professional		$15.49	$33.11	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Facility		$15.49	$15.49	$21.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $28.18	Professional		$15.49	$18.62	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $31.62	Facility		$15.49	$15.49	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $46.77	Facility		$15.14	$21.88	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $79.43	Professional		$14.13	$18.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $46.77 / $64.57	Facility		$23.44	$46.77	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $18.62	Professional		$11.48	$14.45	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Facility		$18.62	$18.62	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $19.50	Professional		$6.46	$8.13	$19.50