Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $61.66	Facility		$12.88	$33.88	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.85	Professional		$8.91	$10.96	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $39.81	Facility		$22.39	$22.39	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $19.50	Professional		$8.91	$13.80	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $34.67	Professional		$13.80	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $19.95	Professional		$13.80	$15.14	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $22.91	Facility		$12.30	$15.14	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $39.81	Facility		$13.18	$19.05	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $79.43	Professional		$13.80	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $53.70	Facility		$23.99	$41.69	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $16.60	Professional		$10.23	$12.59	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Facility		$16.60	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.46 / $16.60	Professional		$5.75	$6.46	$16.60