Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $21.78 / $32.57	Facility		$16.23	$21.78	$32.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.01 / $36.54	Professional		$10.28	$13.01	$36.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $34.40 / $98.37	Professional		$14.70	$34.40	$98.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $32.11 / $37.28	Professional		$23.51	$32.11	$37.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $20.10 / $39.01	Facility		$12.60	$20.10	$39.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $24.90 / $33.86	Professional		$17.93	$24.90	$33.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $28.14 / $30.82	Facility		$21.00	$28.14	$30.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $90.00 / $115.00	Facility		$36.90	$90.00	$115.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.95 / $67.08	Professional		$16.98	$27.95	$67.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $38.65 / $54.88	Facility		$26.39	$38.65	$54.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $17.48 / $38.64	Professional		$16.28	$17.48	$38.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $15.52 / $36.39	Professional		$13.97	$15.52	$36.39