Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $85.11	Facility		$23.44	$28.84	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $28.84	Professional		$12.88	$18.20	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.12 / $67.61	Facility		$30.90	$50.12	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $33.88	Professional		$12.59	$19.05	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $40.74 / $48.98	Professional		$19.05	$40.74	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Facility		$19.05	$19.05	$26.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $38.02	Professional		$19.05	$25.70	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Facility		$19.05	$19.05	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $63.10	Facility		$18.20	$27.54	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $79.43	Professional		$19.05	$23.44	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $77.62	Facility		$28.18	$56.23	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $23.99	Professional		$14.13	$19.05	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.20	Facility		$22.91	$22.91	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $26.30	Professional		$7.94	$10.72	$26.30