Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $97.72	Facility		$27.54	$33.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $33.88	Professional		$12.88	$18.20	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $63.10	Facility		$35.48	$57.54	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $39.81	Professional		$11.75	$21.88	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $56.23	Professional		$21.88	$47.86	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Facility		$21.88	$21.88	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $35.48	Professional		$21.88	$25.12	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $41.69	Facility		$21.88	$21.88	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $64.57	Facility		$19.50	$30.20	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $79.43	Professional		$19.50	$24.55	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $91.20	Facility		$33.11	$66.07	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $26.30	Professional		$16.60	$19.95	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $34.67	Facility		$26.30	$26.30	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $26.30	Professional		$9.12	$10.00	$26.30