Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $112.20 / $112.20	Facility		$23.99	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.20	Professional		$15.85	$19.95	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $72.44	Facility		$40.74	$40.74	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $63.10	Professional		$25.12	$51.29	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $37.15	Facility		$24.55	$25.12	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $35.48	Professional		$22.91	$27.54	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $41.69	Facility		$22.39	$27.54	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $63.10	Facility		$20.42	$33.88	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $79.43	Professional		$25.12	$32.36	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $100.00	Facility		$43.65	$75.86	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $30.20	Professional		$20.42	$25.12	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Facility		$30.20	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $30.20	Professional		$10.47	$10.47	$30.20