Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $41.99 / $114.80	Facility		$24.43	$41.99	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $15.28 / $21.38	Professional		$10.36	$15.28	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $44.35 / $60.49	Facility		$27.38	$44.35	$60.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $29.96	Professional		$12.08	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $41.01 / $44.25	Professional		$16.85	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $16.98 / $35.13	Facility		$16.48	$16.98	$35.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $19.38 / $24.26	Professional		$16.85	$19.38	$24.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $22.75 / $37.20	Facility		$16.85	$22.75	$37.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.22 / $48.87	Facility		$16.98	$20.22	$48.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $21.06 / $27.58	Professional		$16.85	$21.06	$27.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $52.00 / $69.61	Facility		$32.86	$52.00	$69.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.47 / $41.85	Professional		$15.06	$21.47	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.63 / $20.22	Professional		$7.08	$9.63	$20.22