Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $31.78 / $61.38	Facility		$27.40	$31.78	$61.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $21.26 / $42.74	Professional		$17.82	$21.26	$42.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $54.86 / $71.98	Facility		$35.63	$54.86	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $26.18 / $43.04	Professional		$13.42	$26.18	$43.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $48.30 / $57.87	Professional		$21.92	$48.30	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $37.22 / $67.23	Facility		$19.73	$37.22	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $24.11 / $35.03	Professional		$21.92	$24.11	$35.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $24.11 / $48.39	Facility		$21.92	$24.11	$48.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $29.59 / $63.57	Facility		$25.21	$29.59	$63.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $26.30 / $34.44	Professional		$24.11	$26.30	$34.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $66.70 / $90.56	Facility		$42.74	$66.70	$90.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.95 / $69.28	Professional		$38.90	$42.95	$69.28
United Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $32.88 / $35.07	Facility		$32.88	$32.88	$35.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $9.21 / $23.02	Professional		$9.21	$9.21	$23.02