Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $91.20	Facility		$25.12	$30.90	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $33.11	Professional		$14.13	$19.05	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $72.44	Facility		$32.36	$52.48	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $38.90	Professional		$13.18	$21.88	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $52.48	Professional		$19.95	$42.66	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $37.15	Facility		$19.95	$19.95	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $34.67	Professional		$19.95	$23.99	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $41.69	Facility		$19.95	$19.95	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.51 / $60.26	Facility		$19.05	$29.51	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $79.43	Professional		$19.95	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $83.18	Facility		$30.20	$60.26	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $23.99	Professional		$16.22	$16.98	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Facility		$23.99	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $23.99	Professional		$8.51	$11.48	$23.99