Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $69.18	Facility		$19.05	$23.44	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $23.44	Professional		$8.91	$13.80	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $54.95	Facility		$24.55	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.92	Professional		$10.00	$15.14	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $39.81	Professional		$15.14	$33.11	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Facility		$15.14	$15.14	$20.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $25.70	Professional		$15.14	$19.05	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Facility		$15.14	$15.14	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $50.12	Facility		$14.79	$21.88	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $79.43	Professional		$15.14	$19.05	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $63.10	Facility		$22.91	$45.71	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $19.50	Professional		$11.48	$15.14	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Facility		$18.20	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $21.38	Professional		$6.46	$8.71	$21.38