Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $17.38 / $137.74	Professional		$11.98	$17.38	$137.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $25.75 / $40.26	Professional		$23.00	$25.75	$40.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $225.00 / $295.08	Professional		$168.71	$225.00	$295.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.27 / $169.62	Facility		$13.28	$15.27	$169.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.63 / $21.00	Professional		$20.00	$20.63	$21.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $218.43 / $237.18	Facility		$139.16	$218.43	$237.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.27 / $138.74	Facility		$13.28	$15.27	$138.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $27.78 / $226.38	Professional		$15.00	$27.78	$226.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $64.50 / $64.50	Professional		$64.50	$64.50	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $211.12 / $361.53	Professional		$23.82	$211.12	$361.53