Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $21.75 / $42.00	Facility		$18.00	$21.75	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $14.55 / $71.53	Professional		$10.36	$14.55	$71.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $39.49 / $47.38	Facility		$24.38	$39.49	$47.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $16.93 / $27.02	Professional		$9.41	$16.93	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $36.28 / $39.14	Professional		$15.00	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $16.59 / $43.99	Facility		$12.90	$16.59	$43.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.97 / $22.27	Professional		$15.00	$17.97	$22.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.00 / $33.11	Facility		$15.00	$18.00	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.00 / $43.50	Facility		$15.00	$18.00	$43.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.07 / $21.60	Professional		$15.00	$17.07	$21.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $45.65 / $61.97	Facility		$29.25	$45.65	$61.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.80 / $36.92	Professional		$13.33	$16.80	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.54 / $18.00	Professional		$6.30	$7.54	$18.00