Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.39 / $64.57	Facility		$18.20	$22.39	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $22.39	Professional		$7.94	$12.88	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $51.29	Facility		$23.44	$38.02	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $25.70	Professional		$9.55	$14.45	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.90 / $37.15	Professional		$14.45	$30.90	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.95	Facility		$14.45	$14.45	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $23.99	Professional		$14.45	$18.20	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $27.54	Facility		$14.45	$14.45	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.89 / $43.65	Facility		$13.18	$20.89	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $79.43	Professional		$14.45	$18.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $58.88	Facility		$21.38	$43.65	$58.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $18.20	Professional		$10.72	$14.45	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $22.91	Facility		$17.38	$17.38	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $19.95	Professional		$6.03	$8.32	$19.95