Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $371.54	Facility		$18.20	$51.29	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $25.12	Professional		$18.20	$18.20	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.30 / $37.15	Facility		$16.98	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.50	Professional		$18.20	$18.20	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $47.86	Professional		$18.20	$40.74	$47.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $22.91	Facility		$18.20	$19.05	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $22.91	Professional		$18.20	$19.05	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $38.90	Facility		$18.62	$23.44	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $54.95	Facility		$18.20	$26.30	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $79.43	Professional		$18.20	$19.50	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $112.20	Facility		$23.44	$26.92	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.62	Professional		$18.20	$18.20	$18.62