Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $47.78 / $106.28	Facility		$25.10	$47.78	$106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.94 / $17.07	Professional		$10.84	$13.94	$17.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $31.71 / $43.29	Facility		$19.57	$31.71	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.63 / $21.74	Professional		$8.69	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $29.18 / $31.49	Professional		$12.05	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $13.14 / $39.84	Facility		$10.92	$13.14	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.39 / $17.35	Professional		$12.05	$13.39	$17.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.27 / $26.60	Facility		$12.05	$16.27	$26.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $14.58 / $34.95	Facility		$10.92	$14.58	$34.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.06 / $19.73	Professional		$12.05	$15.06	$19.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $37.20 / $49.78	Facility		$23.50	$37.20	$49.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.36 / $29.54	Professional		$10.72	$15.36	$29.54
United Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $19.28	Facility		$18.07	$18.07	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.89 / $14.46	Professional		$5.05	$6.89	$14.46