Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $52.48 / $69.18	Facility		$15.14	$52.48	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $18.20	Professional		$8.91	$10.96	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $42.66	Facility		$19.50	$31.62	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $21.88	Professional		$7.94	$12.02	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $30.90	Professional		$12.02	$25.70	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $56.23	Facility		$12.02	$12.02	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $19.95	Professional		$12.02	$14.45	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $25.70	Facility		$12.02	$12.02	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.38 / $36.31	Facility		$10.96	$17.38	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $79.43	Professional		$12.02	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $36.31 / $48.98	Facility		$17.78	$36.31	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $15.14	Professional		$8.91	$12.02	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Facility		$14.45	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $16.60	Professional		$5.01	$6.92	$16.60