Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $22.66 / $8,694.93	Facility		$19.85	$22.66	$8,694.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $20.17 / $28.95	Professional		$19.96	$20.17	$28.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $27.35 / $38.64	Facility		$18.84	$27.35	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.67	Professional		$19.97	$19.97	$21.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $43.33 / $51.07	Professional		$19.46	$43.33	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $28.56 / $42.94	Facility		$19.97	$28.56	$42.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $21.17 / $25.96	Professional		$19.97	$21.17	$25.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $19.97 / $41.46	Facility		$18.66	$19.97	$41.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $20.27 / $34.86	Facility		$18.10	$20.27	$34.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $21.79 / $24.15	Professional		$19.97	$21.79	$24.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $19.97 / $51.48	Facility		$16.42	$19.97	$51.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97