Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $66.07	Facility		$18.20	$27.54	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $28.18	Professional		$8.91	$12.88	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $42.66	Facility		$23.99	$38.90	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $26.30	Professional		$7.24	$14.45	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $38.02	Professional		$14.45	$31.62	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $17.38	Facility		$14.45	$14.45	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $23.99	Professional		$14.45	$16.98	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $27.54	Facility		$14.45	$14.45	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.42 / $42.66	Facility		$12.88	$20.42	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $79.43	Professional		$13.18	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $60.26	Facility		$21.88	$43.65	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $17.38	Professional		$10.96	$13.18	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Facility		$17.38	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.31 / $17.38	Professional		$6.17	$6.31	$17.38