Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $128.82	Facility		$24.55	$46.77	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $30.20	Professional		$14.13	$17.78	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $70.79	Facility		$31.62	$51.29	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $35.48	Professional		$12.88	$19.50	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $42.66 / $50.12	Professional		$19.50	$42.66	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Facility		$19.50	$19.50	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $32.36	Professional		$19.50	$23.44	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $38.90	Facility		$19.50	$19.50	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $58.88	Facility		$19.05	$28.18	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $79.43	Professional		$19.50	$24.55	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $81.28	Facility		$29.51	$58.88	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $25.12	Professional		$14.79	$19.50	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Facility		$23.44	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $27.54	Professional		$8.32	$11.22	$27.54