Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $43.06 / $190.56	Facility		$22.99	$43.06	$190.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.39 / $59.03	Professional		$21.53	$22.39	$59.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $35.51 / $43.12	Facility		$20.30	$35.51	$43.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $25.38	Professional		$21.52	$21.52	$25.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $46.60 / $60.21	Professional		$36.57	$46.60	$60.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $31.06 / $70.55	Facility		$20.90	$31.06	$70.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $30.14	Professional		$21.53	$22.82	$30.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $24.78 / $64.59	Facility		$20.90	$24.78	$64.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $30.73 / $70.55	Facility		$21.53	$30.73	$70.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $30.73 / $32.47	Professional		$21.52	$30.73	$32.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $23.68	Professional		$21.53	$21.53	$23.68
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $25.84	Professional		$21.53	$21.53	$25.84