Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $77.62 / $77.62	Facility		$15.85	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $20.89	Professional		$10.96	$12.88	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Facility		$28.18	$28.18	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $44.67	Professional		$17.38	$37.15	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $23.99	Professional		$14.13	$19.05	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.05 / $26.92	Facility		$15.49	$19.05	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.99 / $45.71	Facility		$12.88	$23.99	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $79.43	Professional		$17.38	$22.39	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $67.61	Facility		$30.20	$51.29	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.79 / $20.42	Professional		$13.80	$14.79	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Facility		$20.42	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $20.42	Professional		$7.24	$7.24	$20.42