Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $56.23 / $60.26	Professional		$23.44	$56.23	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $53.70	Facility		$25.12	$35.48	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $38.90	Professional		$23.99	$23.99	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $45.71	Facility		$37.15	$44.67	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $54.95	Facility		$25.12	$35.48	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $79.43	Professional		$38.90	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $35.48	Professional		$29.51	$33.11	$35.48