Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $43.65	Facility		$18.20	$26.30	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $23.44	Professional		$18.20	$18.62	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $35.48	Facility		$17.38	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.95	Professional		$18.20	$18.20	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $45.71	Professional		$17.78	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $36.31	Facility		$18.20	$19.95	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $23.99	Professional		$18.20	$19.50	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $38.02	Facility		$18.20	$22.91	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $35.48	Facility		$18.20	$19.05	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $79.43	Professional		$18.62	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.95 / $50.12	Facility		$17.78	$19.95	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $43.65	Facility		$18.20	$18.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20