Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $77.62	Facility		$21.38	$26.30	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $26.30	Professional		$10.96	$15.85	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $57.54	Facility		$27.54	$44.67	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $30.90	Professional		$10.72	$16.98	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $43.65	Professional		$16.98	$37.15	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $23.99	Facility		$16.98	$16.98	$23.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $32.36	Professional		$16.98	$20.42	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $38.02	Facility		$16.98	$16.98	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $24.55 / $53.70	Facility		$15.85	$24.55	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $79.43	Professional		$16.22	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $70.79	Facility		$25.70	$51.29	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $20.42	Professional		$12.88	$16.60	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Facility		$20.42	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $22.39	Professional		$7.24	$9.12	$22.39