Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $24.55 / $72.44	Facility		$19.95	$24.55	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $24.55	Professional		$10.96	$15.14	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $57.54	Facility		$25.70	$41.69	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $28.84	Professional		$10.72	$15.85	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $40.74	Professional		$15.85	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $22.39	Facility		$15.85	$15.85	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $27.54	Professional		$15.85	$19.95	$27.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $30.20	Facility		$15.85	$15.85	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $52.48	Facility		$15.49	$22.91	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $79.43	Professional		$15.85	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $66.07	Facility		$23.99	$47.86	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $20.42	Professional		$12.02	$15.85	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $25.70	Facility		$19.05	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $22.39	Professional		$6.76	$9.12	$22.39