Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $33.88	Professional		$10.96	$21.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $16.60	Professional		$16.22	$16.60	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.44 / $87.10	Professional		$25.70	$72.44	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.92 / $40.74	Facility		$24.55	$26.92	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $38.02	Professional		$24.55	$26.92	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $37.15	Facility		$26.92	$33.11	$37.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $39.81	Professional		$29.51	$33.88	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $45.71	Facility		$19.50	$30.20	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $56.23	Professional		$16.60	$29.51	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $38.02	Professional		$34.67	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Facility		$12.88	$12.88	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $32.36	Professional		$15.14	$16.98	$32.36