Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $21.80 / $35.24	Facility		$17.44	$21.80	$35.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.79 / $370.96	Professional		$17.61	$17.79	$370.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $24.65 / $35.00	Facility		$16.62	$24.65	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $19.11	Professional		$17.62	$17.62	$19.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $38.35 / $45.97	Professional		$17.22	$38.35	$45.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $25.20 / $39.44	Facility		$17.62	$25.20	$39.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $19.38 / $22.91	Professional		$17.62	$19.38	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $21.80 / $52.32	Facility		$17.44	$21.80	$52.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $25.20 / $37.88	Facility		$17.62	$25.20	$37.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $20.78 / $21.81	Professional		$17.62	$20.78	$21.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $33.36 / $66.59	Facility		$18.72	$33.36	$66.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62