Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.11 / $120.23	Facility		$17.38	$33.11	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $26.92	Professional		$8.91	$12.88	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $44.67	Facility		$22.39	$36.31	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.80 / $24.55	Professional		$8.13	$13.80	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $34.67	Professional		$13.80	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $32.36	Facility		$13.80	$13.80	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $20.89	Professional		$13.80	$16.98	$20.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $26.30	Facility		$13.80	$13.80	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $41.69	Facility		$12.30	$19.05	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $79.43	Professional		$12.59	$16.60	$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 $10.23 / $12.88 / $16.60	Professional		$10.23	$12.88	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Facility		$16.60	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $17.38	Professional		$5.75	$7.08	$17.38