Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $107.15	Facility		$30.20	$44.67	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $37.15	Professional		$12.88	$18.20	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $69.18	Facility		$38.90	$63.10	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $42.66	Professional		$11.75	$23.99	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $61.66	Professional		$23.99	$52.48	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.99 / $50.12	Facility		$23.44	$23.99	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $35.48	Professional		$23.99	$27.54	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $45.71	Facility		$23.99	$23.99	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $70.79	Facility		$20.42	$33.11	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $79.43	Professional		$21.88	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $100.00	Facility		$36.31	$72.44	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $28.84	Professional		$18.20	$21.88	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Facility		$28.84	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $28.84	Professional		$10.00	$10.00	$28.84