Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $61.66 / $109.65	Facility		$19.95	$61.66	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $25.70	Professional		$8.91	$10.96	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $42.66	Facility		$22.39	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $24.55	Professional		$7.94	$13.80	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $34.67	Professional		$13.80	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $91.20	Facility		$13.80	$13.80	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $23.99	Professional		$13.80	$16.60	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $26.30	Facility		$13.80	$13.80	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.05 / $40.74	Facility		$11.75	$19.05	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $79.43	Professional		$12.30	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $57.54	Facility		$20.89	$41.69	$57.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $16.60	Professional		$10.47	$12.59	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Facility		$16.60	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $16.60	Professional		$5.75	$6.92	$16.60