Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $57.54 / $97.72	Facility		$19.95	$57.54	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $25.12	Professional		$8.91	$11.75	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $46.77	Facility		$20.89	$33.88	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $23.44	Professional		$8.51	$12.88	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $33.11	Professional		$12.88	$28.18	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $77.62	Facility		$12.88	$12.88	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $21.88	Professional		$11.75	$15.49	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $85.11	Facility		$12.88	$12.88	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $38.90	Facility		$11.75	$18.62	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $79.43	Professional		$12.88	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $53.70	Facility		$19.50	$38.90	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $16.60	Professional		$9.77	$12.88	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $20.89	Facility		$15.49	$15.49	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $18.20	Professional		$5.50	$7.41	$18.20