Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $81.28	Facility		$18.20	$33.88	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $34.67	Professional		$12.02	$18.20	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $57.54	Facility		$29.51	$47.86	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $23.44	Professional		$9.55	$12.30	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $45.71	Professional		$18.20	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $53.70	Facility		$18.20	$18.20	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $26.92	Professional		$18.20	$22.39	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $25.12	Facility		$18.20	$18.20	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $53.70	Facility		$17.38	$25.12	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.20 / $25.12	Professional		$9.55	$18.20	$25.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $21.88	Professional		$13.49	$16.60	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $22.39	Professional		$7.59	$9.12	$22.39