Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $31.89 / $61.57	Facility		$26.39	$31.89	$61.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $21.33 / $119.25	Professional		$21.33	$21.33	$119.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $57.87 / $78.92	Facility		$35.72	$57.87	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.19 / $39.36	Professional		$15.81	$25.19	$39.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $53.64 / $57.87	Professional		$21.99	$53.64	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $27.64 / $73.04	Facility		$21.33	$27.64	$73.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.43 / $31.67	Professional		$21.99	$24.43	$31.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $23.09 / $48.54	Facility		$21.99	$23.09	$48.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $27.64 / $63.77	Facility		$21.99	$27.64	$63.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $27.49 / $35.99	Professional		$21.99	$27.49	$35.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $67.84 / $90.85	Facility		$42.88	$67.84	$90.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $28.03 / $54.15	Professional		$19.70	$28.03	$54.15
United Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $13.82 / $21.99	Facility		$13.82	$13.82	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.90 / $26.39	Professional		$9.24	$10.90	$26.39