Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $67.61	Facility		$19.05	$38.02	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $69.18	Professional		$7.59	$12.02	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $44.67	Facility		$25.12	$39.81	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $27.54	Professional		$7.94	$15.14	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $39.81	Professional		$15.14	$33.11	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $36.31	Facility		$15.14	$15.14	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $20.89	Professional		$15.14	$16.98	$20.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $81.28	Facility		$15.14	$15.14	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $44.67	Facility		$13.80	$21.38	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $79.43	Professional		$13.80	$17.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $63.10	Facility		$22.91	$45.71	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $18.20	Professional		$11.48	$13.80	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Facility		$18.20	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.92 / $18.20	Professional		$6.46	$6.92	$18.20