Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.78 / $42.06	Facility		$18.02	$21.78	$42.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.57 / $80.81	Professional		$11.29	$14.57	$80.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $39.53 / $53.98	Facility		$24.40	$39.53	$53.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $16.93 / $27.02	Professional		$10.83	$16.93	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $36.28 / $39.14	Professional		$15.02	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $16.25 / $48.00	Facility		$13.53	$16.25	$48.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $16.48 / $24.63	Professional		$15.02	$16.48	$24.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $20.28 / $33.15	Facility		$15.02	$20.28	$33.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $18.02 / $43.56	Facility		$15.02	$18.02	$43.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $16.52 / $21.70	Professional		$15.02	$16.52	$21.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $46.38 / $62.05	Facility		$29.29	$46.38	$62.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.29 / $36.92	Professional		$12.26	$15.29	$36.92
United Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $24.03	Facility		$22.53	$22.53	$24.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.59 / $18.02	Professional		$6.31	$8.59	$18.02