Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $34.61 / $42.96	Facility		$22.62	$34.61	$42.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.62 / $69.59	Professional		$21.48	$22.62	$69.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $33.93 / $46.62	Facility		$20.27	$33.93	$46.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $23.31	Professional		$21.48	$21.48	$23.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $49.73 / $62.98	Professional		$21.48	$49.73	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $30.72 / $67.25	Facility		$21.48	$30.72	$67.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.77 / $26.85	Professional		$21.48	$22.77	$26.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $28.28 / $46.94	Facility		$21.48	$28.28	$46.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $34.90 / $67.25	Facility		$21.48	$34.90	$67.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $25.34 / $32.65	Professional		$18.00	$25.34	$32.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $47.59 / $91.41	Facility		$30.66	$47.59	$91.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48