Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.51 / $18.94	Professional		$11.98	$14.51	$18.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $24.63 / $113.92	Professional		$15.00	$24.63	$113.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $82.46 / $104.93	Professional		$59.99	$82.46	$104.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $14.22 / $45.78	Facility		$13.28	$14.22	$45.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $20.00 / $50.00	Professional		$19.80	$20.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $28.33 / $28.33	Facility		$17.00	$28.33	$28.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $26.81	Professional		$26.81	$26.81	$26.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $14.22 / $36.65	Facility		$13.28	$14.22	$36.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $20.83 / $113.92	Professional		$15.00	$20.83	$113.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50
United Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $83.08 / $128.46	Professional		$62.00	$83.08	$128.46