Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $39.81 / $128.82	Facility		$21.38	$39.81	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $30.90	Professional		$12.30	$15.14	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $61.66	Facility		$27.54	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $30.90	Professional		$11.22	$16.98	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $43.65	Professional		$16.98	$37.15	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $66.07	Facility		$16.98	$16.98	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $28.18	Professional		$15.85	$20.42	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $32.36	Facility		$16.98	$16.98	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $24.55 / $56.23	Facility		$16.60	$24.55	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $79.43	Professional		$16.98	$21.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $70.79	Facility		$25.70	$51.29	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $21.88	Professional		$12.88	$16.98	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Facility		$20.42	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $23.99	Professional		$7.08	$9.77	$23.99