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 $12.03 / $15.00 / $18.97	Professional		$12.03	$15.00	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.83 / $90.38	Professional		$12.00	$20.83	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $63.48 / $83.24	Professional		$46.98	$63.48	$83.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.00 / $36.33	Facility		$13.28	$15.00	$36.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $15.00	Professional		$11.25	$11.25	$15.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $21.02 / $21.03	Facility		$12.62	$21.02	$21.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.00 / $29.08	Facility		$13.28	$15.00	$29.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $20.83 / $90.38	Professional		$13.08	$20.83	$90.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $69.56 / $103.61	Professional		$50.90	$69.56	$103.61