Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Facility		$39.89	$39.89	$39.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $15.52 / $31.20	Professional		$12.81	$15.52	$31.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $29.55 / $29.55	Facility		$29.55	$29.55	$29.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $19.73 / $31.72	Professional		$11.68	$19.73	$31.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $32.11 / $51.87	Professional		$18.19	$32.11	$51.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $18.64 / $1,316.26	Facility		$12.81	$18.64	$1,316.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $20.89 / $30.57	Professional		$16.88	$20.89	$30.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $18.19 / $85.50	Facility		$17.76	$18.19	$85.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $20.23 / $40.02	Facility		$15.04	$20.23	$40.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $19.98 / $26.82	Professional		$17.60	$19.98	$26.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $56.00	Facility		$32.00	$32.00	$56.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $32.13 / $56.60	Professional		$30.52	$32.13	$56.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.41 / $53.84	Professional		$9.60	$12.41	$53.84