Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $35.48 / $93.33	Facility		$16.22	$35.48	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $23.99	Professional		$7.94	$12.88	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $44.67	Facility		$19.95	$32.36	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $22.39	Professional		$8.13	$12.30	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $31.62	Professional		$12.30	$26.92	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $37.15	Facility		$12.30	$12.30	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $21.88	Professional		$12.30	$16.60	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $23.44	Facility		$12.30	$12.30	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $40.74	Facility		$12.02	$17.78	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $79.43	Professional		$12.30	$15.49	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $51.29	Facility		$18.62	$37.15	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $15.85	Professional		$9.33	$12.30	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Facility		$14.79	$14.79	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $17.38	Professional		$5.25	$7.08	$17.38