Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.50 / $56.23	Facility		$15.49	$19.50	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $19.50	Professional		$7.94	$12.02	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $44.67	Facility		$20.42	$33.11	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $22.39	Professional		$8.32	$12.59	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $31.62	Professional		$12.59	$26.92	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $17.38	Facility		$12.59	$12.59	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $25.12	Professional		$12.59	$16.98	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $28.18	Facility		$12.59	$12.59	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $41.69	Facility		$12.02	$18.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $79.43	Professional		$12.59	$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 / $12.59 / $15.85	Professional		$9.33	$12.59	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Facility		$15.14	$15.14	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $17.38	Professional		$5.25	$7.08	$17.38