Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $91.20	Facility		$25.70	$38.02	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $31.62	Professional		$12.88	$19.05	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $72.44	Facility		$33.11	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $36.31	Professional		$13.49	$20.42	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $52.48	Professional		$20.42	$43.65	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Facility		$20.42	$20.42	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $44.67	Facility		$20.42	$20.42	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $67.61	Facility		$19.95	$29.51	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $79.43	Professional		$20.42	$25.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $85.11	Facility		$30.90	$61.66	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $26.30	Professional		$15.49	$20.42	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Facility		$24.55	$24.55	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $28.84	Professional		$8.51	$11.75	$28.84