Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $75.86	Facility		$20.89	$41.69	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $26.30	Professional		$10.96	$15.14	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $51.29	Facility		$27.54	$44.67	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $30.90	Professional		$9.55	$19.50	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $43.65	Professional		$16.98	$37.15	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $35.48	Facility		$16.98	$16.98	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $23.44	Professional		$16.98	$19.50	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $31.62	Facility		$16.98	$16.98	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $50.12	Facility		$16.22	$23.44	$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 $25.12 / $50.12 / $69.18	Facility		$25.12	$50.12	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $20.42	Professional		$12.59	$15.49	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $26.92	Facility		$20.42	$20.42	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.13 / $20.42	Professional		$7.08	$8.13	$20.42