Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $22.02 / $101.91	Professional		$10.37	$22.02	$101.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Facility		$21.22	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $27.42	Professional		$18.04	$18.04	$27.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $63.91 / $78.13	Professional		$18.01	$63.91	$78.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $26.32 / $33.02	Facility		$21.50	$26.32	$33.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $27.02 / $31.52	Professional		$22.33	$27.02	$31.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $30.02 / $35.32	Facility		$23.84	$30.02	$35.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $32.18 / $35.32	Professional		$26.24	$32.18	$35.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $26.29 / $31.05	Facility		$21.22	$26.29	$31.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $26.29 / $33.86	Professional		$18.04	$26.29	$33.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $33.02 / $33.02	Professional		$28.58	$33.02	$33.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $14.98 / $28.70	Professional		$13.98	$14.98	$28.70