Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $28.11 / $41.58	Facility		$21.14	$28.11	$41.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.19 / $43.70	Professional		$11.22	$16.19	$43.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.01 / $48.00 / $51.88	Professional	25	$18.01	$48.00	$51.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $26.28 / $38.82	Professional		$15.16	$26.28	$38.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $27.54 / $34.97	Professional		$22.20	$27.54	$34.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $22.82 / $34.03	Facility		$13.60	$22.82	$34.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $24.34 / $37.13	Professional		$18.68	$24.34	$37.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $27.04 / $29.48	Facility		$18.29	$27.04	$29.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $23.90 / $36.96	Facility		$13.76	$23.90	$36.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $28.46 / $37.84	Professional		$21.77	$28.46	$37.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $107.54 / $112.87	Facility		$77.00	$107.54	$112.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.68 / $40.03	Professional		$20.47	$28.68	$40.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $28.81 / $44.45	Professional		$19.19	$28.81	$44.45