Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.43 / $25.59	Professional		$16.14	$19.43	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $34.75 / $133.18	Professional		$27.00	$34.75	$133.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $96.40 / $122.66	Professional		$70.13	$96.40	$122.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $53.52	Facility		$17.89	$19.19	$53.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $23.84	Professional		$20.00	$22.00	$23.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $29.81 / $29.81	Facility		$17.89	$29.81	$29.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $27.89 / $27.89	Professional		$27.89	$27.89	$27.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $20.97 / $39.83	Facility		$17.89	$20.97	$39.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $49.94 / $161.00	Professional		$27.69	$49.94	$161.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $36.50 / $36.50	Professional		$36.50	$36.50	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $101.50 / $150.22	Professional		$73.95	$101.50	$150.22