Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $87.10	Facility		$23.99	$29.51	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $29.51	Professional		$12.02	$18.20	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $67.61	Facility		$31.62	$51.29	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $34.67	Professional		$12.30	$19.50	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $41.69 / $50.12	Professional		$19.50	$41.69	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $26.92	Facility		$19.50	$19.50	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $30.90	Professional		$19.50	$23.44	$30.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $36.31	Facility		$19.50	$19.50	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $57.54	Facility		$18.62	$27.54	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $79.43	Professional		$19.05	$23.99	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $79.43	Facility		$28.84	$57.54	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $23.99	Professional		$14.45	$19.50	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $30.90	Facility		$23.44	$23.44	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $26.30	Professional		$8.13	$10.72	$26.30