Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $117.49	Facility		$19.95	$60.26	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $21.38	Professional		$10.23	$12.30	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $48.98	Facility		$22.39	$36.31	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $24.55	Professional		$8.91	$13.80	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $34.67	Professional		$13.80	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $79.43	Facility		$13.80	$13.80	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $27.54	Professional		$13.49	$16.60	$27.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $46.77	Facility		$13.18	$19.95	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $79.43	Professional		$13.80	$17.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $41.69 / $56.23	Facility		$20.42	$41.69	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $17.38	Professional		$10.23	$13.80	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Facility		$16.60	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $19.05	Professional		$5.75	$7.76	$19.05