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 / $19.47 / $25.59	Professional		$16.14	$19.47	$25.59
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 $19.34 / $27.78 / $90.38	Professional		$19.34	$27.78	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $65.43 / $83.24	Professional		$47.59	$65.43	$83.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $38.49	Facility		$17.89	$19.19	$38.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $36.19 / $36.89	Professional		$27.50	$36.19	$36.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $45.86 / $45.87	Facility		$27.52	$45.86	$45.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $36.33	Facility		$17.89	$19.19	$36.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $34.50 / $161.00	Professional		$23.00	$34.50	$161.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $69.98 / $103.61	Professional		$50.00	$69.98	$103.61