Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $95.50	Facility		$26.30	$33.11	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $33.11	Professional		$14.13	$19.95	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $69.18	Facility		$34.67	$56.23	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.38 / $38.02	Professional		$12.59	$21.38	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $54.95	Professional		$21.38	$45.71	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $44.67	Facility		$21.38	$21.38	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $38.90	Professional		$21.38	$26.30	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $47.86	Facility		$21.38	$21.38	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $64.57	Facility		$20.42	$30.20	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $79.43	Professional		$19.05	$25.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $87.10	Facility		$31.62	$63.10	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $25.70	Professional		$15.85	$19.50	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $26.92	Professional		$8.91	$10.96	$26.92