Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $41.69	Facility		$22.39	$33.11	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $42.66	Professional		$10.96	$16.60	$42.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.78 / $31.62 / $53.70	Professional	25	$17.78	$31.62	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $35.48	Professional		$12.02	$22.39	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $37.15	Professional		$19.50	$26.92	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.98 / $29.51	Facility		$10.96	$16.98	$29.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.55 / $36.31	Professional		$14.13	$24.55	$36.31
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $31.62 / $51.29	Professional	25	$19.05	$31.62	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $29.51	Facility		$19.95	$27.54	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.38 / $28.84	Facility		$10.96	$17.38	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $60.26	Professional		$19.50	$28.18	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $128.82	Facility		$77.62	$107.15	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $36.31	Professional		$19.95	$26.30	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $35.48	Professional		$13.18	$23.44	$35.48