Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $43.65 / $91.20	Facility		$16.98	$43.65	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $79.43	Professional		$8.91	$15.85	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $34.67	Facility		$19.50	$19.50	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $21.88	Professional		$10.23	$13.49	$21.88
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 / $12.02 / $64.57	Facility		$12.02	$12.02	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $17.38	Professional		$12.02	$13.80	$17.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.59 / $18.20	Facility		$12.02	$12.59	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $35.48	Facility		$13.49	$19.50	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $23.99	Professional		$11.22	$13.18	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $75.86	Facility		$18.20	$40.74	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $14.45	Professional		$9.12	$12.02	$14.45
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 $7.24 / $7.76 / $21.88	Professional		$7.24	$7.76	$21.88