Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $97.72	Facility		$26.92	$33.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $33.88	Professional		$8.91	$15.85	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $42.66 / $63.10	Facility		$35.48	$42.66	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $21.88 / $38.90	Professional		$7.94	$21.88	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $56.23	Professional		$21.88	$46.77	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $29.51	Professional		$16.22	$21.88	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $40.74	Facility		$21.88	$21.88	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $64.57	Facility		$19.50	$30.20	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $79.43	Professional		$16.22	$23.99	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $85.11	Facility		$32.36	$64.57	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $26.30	Professional		$12.30	$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 $6.92 / $9.12 / $26.30	Professional		$6.92	$9.12	$26.30