Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $23.19 / $44.77	Facility		$19.19	$23.19	$44.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $15.51 / $86.69	Professional		$15.51	$15.51	$86.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $42.08 / $57.42	Facility		$25.98	$42.08	$57.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $18.17 / $28.79	Professional		$11.54	$18.17	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $38.65 / $41.70	Professional		$15.99	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $17.30 / $52.00	Facility		$15.51	$17.30	$52.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $19.19 / $26.32	Professional		$15.99	$19.19	$26.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $21.59 / $35.29	Facility		$15.99	$21.59	$35.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $19.35 / $46.37	Facility		$15.99	$19.35	$46.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $19.19 / $26.17	Professional		$15.99	$19.19	$26.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $49.35 / $66.06	Facility		$31.18	$49.35	$66.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.38 / $39.38	Professional		$14.19	$20.38	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.14 / $19.19	Professional		$6.72	$9.14	$19.19