Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.05	Professional		$10.00	$14.13	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $46.77	Professional		$18.20	$39.81	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.38 / $38.02	Facility		$17.38	$21.38	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $20.42	Professional		$16.98	$19.50	$20.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $23.99	Facility		$19.05	$19.50	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $25.70	Facility		$17.38	$19.95	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $79.43	Professional		$16.98	$16.98	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $75.86	Facility		$27.54	$39.81	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $50.12	Professional		$20.42	$30.90	$50.12