Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $33.47 / $45.00	Facility		$20.09	$33.47	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $41.01 / $43.74	Professional		$15.59	$41.01	$43.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $42.32 / $57.71	Facility		$26.13	$42.32	$57.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $18.59 / $28.79	Professional		$11.54	$18.59	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $39.45 / $42.56	Professional		$16.07	$39.45	$42.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $17.14 / $33.52	Facility		$14.00	$17.14	$33.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.28 / $28.05	Professional		$16.07	$19.28	$28.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $21.69 / $56.38	Facility		$16.07	$21.69	$56.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $19.28 / $46.60	Facility		$14.00	$19.28	$46.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.28 / $26.30	Professional		$16.07	$19.28	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $49.60 / $66.39	Facility		$31.34	$49.60	$66.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.48 / $39.38	Professional		$14.48	$20.48	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.19 / $19.28	Professional		$6.75	$9.19	$19.28