Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $29.66 / $29.66	Facility		$29.66	$29.66	$29.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $20.54 / $118.29	Professional		$20.54	$20.54	$118.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $54.50	Professional		$20.63	$24.27	$54.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $31.64 / $95.10	Professional		$24.61	$31.64	$95.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $45.56 / $60.62	Facility		$20.54	$45.56	$60.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $34.14 / $46.60	Professional		$3.52	$34.14	$46.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $42.95 / $59.20	Facility		$35.15	$42.95	$59.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.79 / $51.06	Professional		$35.15	$35.79	$51.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $36.04 / $60.62	Facility		$20.54	$36.04	$60.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $36.04 / $48.82	Professional		$24.27	$36.04	$48.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
United Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $19.48 / $25.96	Facility		$2.59	$19.48	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $38.52	Professional		$20.05	$20.05	$38.52