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 $8.91 / $12.88 / $26.30	Professional		$8.91	$12.88	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $50.12	Facility		$28.18	$37.15	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.38 / $30.90	Professional		$6.92	$17.38	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $44.67	Professional		$17.38	$37.15	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $21.88	Facility		$17.38	$17.38	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $23.44	Professional		$14.13	$17.38	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $32.36	Facility		$17.38	$17.38	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.99 / $51.29	Facility		$13.18	$23.99	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $79.43	Professional		$14.13	$19.05	$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 $10.72 / $14.79 / $20.89	Professional		$10.72	$14.79	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $20.89	Professional		$6.03	$7.24	$20.89