Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.88 / $128.82	Facility		$19.95	$58.88	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $194.98	Professional		$10.00	$14.13	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $54.95	Facility		$25.12	$40.74	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $27.54	Professional		$10.23	$15.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $39.81	Professional		$15.49	$33.11	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $66.07	Facility		$15.49	$15.49	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $25.70	Professional		$15.49	$18.20	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.11	Facility		$15.49	$15.49	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $51.29	Facility		$14.79	$21.88	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $79.43	Professional		$15.49	$19.05	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $63.10	Facility		$22.91	$45.71	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $19.50	Professional		$11.48	$15.49	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Facility		$18.20	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $21.38	Professional		$6.46	$8.71	$21.38