Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $43.98	Facility		$21.99	$21.99	$43.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $320.27	Professional		$19.00	$19.19	$320.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $36.99 / $57.48	Facility		$13.34	$36.99	$57.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $19.00 / $20.01	Professional		$16.01	$19.00	$20.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $51.00 / $75.97	Professional		$38.26	$51.00	$75.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.99 / $116.57	Facility		$19.00	$21.99	$116.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.85 / $27.95	Professional		$19.00	$21.85	$27.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $23.75 / $66.64	Facility		$18.64	$23.75	$66.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $27.35 / $66.59	Facility		$19.00	$27.35	$66.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $42.71 / $56.89	Professional		$19.00	$42.71	$56.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $102.75 / $151.96	Facility		$51.92	$102.75	$151.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.80	Professional		$19.00	$19.00	$22.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.04	Professional		$19.00	$19.00	$22.04