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 / $24.60	Professional		$16.14	$19.47	$24.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Facility		$37.20	$37.20	$37.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $25.45 / $82.48	Professional		$15.93	$25.45	$82.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $73.79 / $94.90	Professional		$55.33	$73.79	$94.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $41.74	Facility		$17.89	$19.19	$41.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $12.50 / $13.21	Professional		$11.25	$12.50	$13.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $12.41 / $12.41	Facility		$7.45	$12.41	$12.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $38.49	Facility		$17.89	$19.19	$38.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $25.45 / $161.00	Professional		$19.25	$25.45	$161.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $42.69 / $64.89	Professional		$31.10	$42.69	$64.89