Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $72.44	Facility		$19.95	$30.20	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $24.55	Professional		$8.91	$12.88	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $46.77	Facility		$26.30	$42.66	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $28.84	Professional		$7.94	$16.22	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $40.74	Professional		$16.22	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Facility		$16.22	$16.22	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $23.99	Professional		$16.22	$18.62	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $30.20	Facility		$16.22	$16.22	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $47.86	Facility		$14.45	$22.39	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $79.43	Professional		$14.45	$17.78	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $66.07	Facility		$23.99	$47.86	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $19.50	Professional		$12.02	$14.79	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $25.70	Facility		$19.50	$19.50	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.92 / $19.50	Professional		$6.76	$6.92	$19.50