Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $34.67 / $53.70	Professional		$18.20	$34.67	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $138.04	Professional		$45.71	$117.49	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $64.57	Facility		$43.65	$44.67	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $64.57	Professional		$43.65	$46.77	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $60.26	Facility		$46.77	$57.54	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $60.26	Professional		$51.29	$58.88	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $69.18	Facility		$35.48	$50.12	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $79.43	Professional		$32.36	$56.23	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $66.07	Professional		$60.26	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $24.55	Facility		$20.89	$20.89	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $51.29	Professional		$24.55	$26.92	$51.29