Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $75.86	Facility		$21.38	$31.62	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $26.30	Professional		$10.96	$15.85	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $61.66	Facility		$27.54	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.39 / $58.88	Professional		$13.18	$22.39	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $74.13 / $85.11	Professional		$16.98	$74.13	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $38.90	Facility		$16.98	$16.98	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $28.84	Professional		$16.98	$23.44	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.62 / $38.02	Facility		$16.98	$18.62	$38.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $20.42	Professional		$15.49	$16.98	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $52.48	Facility		$17.38	$26.30	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $52.48	Professional		$16.98	$24.55	$52.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $70.79	Facility		$25.70	$51.29	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $21.88	Professional		$12.88	$16.98	$21.88
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 $7.08 / $9.77 / $23.99	Professional		$7.08	$9.77	$23.99