Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $53.70 / $97.72	Facility		$19.50	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $18.20	Professional		$8.91	$10.72	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $43.65	Facility		$19.50	$31.62	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $24.55	Professional		$7.94	$13.49	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $30.90	Professional		$12.02	$25.70	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $91.20	Facility		$12.02	$16.98	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $21.88	Professional		$10.96	$14.45	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $22.91	Facility		$12.02	$12.02	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.38 / $39.81	Facility		$11.75	$17.38	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $79.43	Professional		$12.02	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $50.12	Facility		$18.20	$36.31	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $15.49	Professional		$9.12	$12.02	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Facility		$14.45	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.92 / $15.85	Professional		$5.13	$6.92	$15.85