Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $20.27	Facility		$20.27	$20.27	$20.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.12 / $85.05	Professional		$14.00	$14.12	$85.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Facility		$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $18.85	Professional		$13.50	$15.88	$18.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.37 / $64.98	Professional		$18.18	$23.37	$64.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $27.33 / $36.35	Facility		$14.12	$27.33	$36.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $25.22 / $27.96	Professional		$2.91	$25.22	$27.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $27.97 / $35.50	Facility		$24.44	$27.97	$35.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $25.97 / $34.19	Professional		$24.44	$25.97	$34.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $26.03 / $36.35	Facility		$14.12	$26.03	$36.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $24.79 / $30.26	Professional		$15.88	$24.79	$30.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $27.01 / $27.01	Professional		$27.01	$27.01	$27.01
United Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $24.83	Professional		$12.92	$12.92	$24.83