Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $70.79 / $125.89	Facility		$22.91	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $22.91	Professional		$10.96	$14.13	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $56.23	Facility		$25.70	$41.69	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $28.18	Professional		$10.47	$15.85	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $39.81	Professional		$15.85	$33.88	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $102.33	Facility		$15.85	$15.85	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $31.62	Professional		$15.85	$19.50	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $38.02	Facility		$15.85	$15.85	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $52.48	Facility		$15.14	$22.91	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $79.43	Professional		$15.85	$19.50	$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 $11.75 / $15.85 / $19.95	Professional		$11.75	$15.85	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $25.12	Facility		$19.05	$19.05	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $21.88	Professional		$6.61	$8.91	$21.88