Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $19.00 / $44.18	Professional		$10.68	$19.00	$44.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $10.74 / $21.45	Professional	TC	$5.01	$10.74	$21.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $35.97 / $49.17	Professional		$21.16	$35.97	$49.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.20 / $18.21 / $25.10	Professional	TC	$11.20	$18.21	$25.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.10 / $47.12	Professional		$34.72	$41.10	$47.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $21.02 / $24.66	Professional	TC	$17.61	$21.02	$24.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $34.04 / $49.80	Professional		$27.44	$34.04	$49.80
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.40 / $19.43 / $25.20	Professional	TC	$14.40	$19.43	$25.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $16.75 / $16.75	Professional		$9.21	$16.75	$16.75
Pacific Source Facility/Professional Professional Modifier TC Low / Median / High Price $11.96 / $16.20 / $21.33	Professional	TC	$11.96	$16.20	$21.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $38.11 / $48.50	Professional		$28.32	$38.11	$48.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.20 / $18.66 / $26.24	Professional	TC	$11.20	$18.66	$26.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $38.74 / $46.43	Professional		$29.33	$38.74	$46.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $14.36 / $18.85 / $22.74	Professional	TC	$14.36	$18.85	$22.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $24.04 / $50.63	Professional		$17.68	$24.04	$50.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.30 / $12.24 / $23.77	Professional	TC	$8.30	$12.24	$23.77