Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $67.61 / $97.72	Facility		$22.39	$67.61	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $26.92	Professional		$12.02	$16.22	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $64.57	Facility		$29.51	$47.86	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $32.36	Professional		$12.02	$17.78	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $45.71	Professional		$17.78	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $77.62	Facility		$17.78	$17.78	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $29.51	Professional		$17.78	$21.38	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $53.70	Facility		$17.38	$25.70	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $79.43	Professional		$17.78	$22.39	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $22.91	Professional		$13.49	$17.78	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Facility		$21.38	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $25.12	Professional		$7.59	$10.23	$25.12