Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $75.86	Facility		$17.38	$39.81	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $21.38	Professional		$8.91	$12.88	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $37.15 / $50.12	Facility		$22.91	$37.15	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.13 / $25.12	Professional		$9.33	$14.13	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $36.31	Professional		$14.13	$30.20	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $21.38	Facility		$14.13	$14.13	$21.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $22.91	Professional		$14.13	$17.38	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $26.30	Facility		$14.13	$14.13	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.95 / $46.77	Facility		$13.49	$19.95	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $79.43	Professional		$14.13	$17.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $57.54	Facility		$20.89	$41.69	$57.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $17.78	Professional		$10.47	$14.13	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Facility		$16.98	$16.98	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $19.50	Professional		$5.89	$7.94	$19.50