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 / $19.57 / $25.59	Professional		$16.14	$19.57	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $27.70 / $95.88	Professional		$23.42	$27.70	$95.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $54.13 / $74.84	Professional		$37.14	$54.13	$74.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $19.00 / $30.73	Facility		$9.61	$19.00	$30.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.27 / $28.95	Professional		$22.50	$23.27	$28.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $45.86 / $45.87	Facility		$27.52	$45.86	$45.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $19.00 / $30.48	Facility		$9.35	$19.00	$30.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $39.47 / $161.00	Professional		$17.51	$39.47	$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 $53.04 / $72.80 / $109.61	Professional		$53.04	$72.80	$109.61