Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Facility		$25.70	$25.70	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $67.61	Professional		$11.22	$19.95	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $69.18 / $83.18	Professional		$27.54	$69.18	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $39.81	Facility		$26.30	$29.51	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $39.81	Professional		$26.92	$29.51	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $36.31	Facility		$28.84	$35.48	$36.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $36.31	Professional		$31.62	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $45.71	Facility		$20.42	$32.36	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $70.79	Professional		$17.78	$34.67	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $138.04	Facility		$30.20	$51.29	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $40.74	Professional		$36.31	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Facility		$25.70	$25.70	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $30.90	Professional		$14.79	$16.22	$30.90