Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $52.48 / $114.82	Facility		$15.85	$52.48	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $77.62	Professional		$7.94	$10.72	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $42.66	Facility		$19.05	$30.90	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $21.38	Professional		$7.94	$11.75	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.12 / $30.20	Professional		$11.75	$25.12	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $87.10	Facility		$11.75	$11.75	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $23.44	Professional		$11.75	$15.85	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $28.84	Facility		$11.75	$11.75	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.98 / $38.90	Facility		$11.48	$16.98	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $79.43	Professional		$11.75	$14.79	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $48.98	Facility		$17.78	$35.48	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $15.14	Professional		$8.91	$11.75	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $18.62	Facility		$14.13	$14.13	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.76 / $16.60	Professional		$4.90	$6.76	$16.60