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 $14.13 / $19.05 / $39.81	Professional		$14.13	$19.05	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $72.44	Facility		$35.48	$57.54	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $42.66	Professional		$13.18	$23.99	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $57.54	Professional		$21.88	$47.86	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $38.02	Facility		$21.88	$21.88	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $34.67	Professional		$21.88	$26.30	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $43.65	Facility		$21.88	$21.88	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $64.57	Facility		$20.42	$32.36	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $79.43	Professional		$19.95	$28.18	$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 $17.78 / $18.62 / $26.30	Professional		$17.78	$18.62	$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 / $11.48 / $26.30	Professional		$9.12	$11.48	$26.30