Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Facility		$27.31	$27.31	$27.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $95.36	Professional		$16.57	$16.57	$95.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $21.85	Facility		$21.85	$21.85	$21.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.85 / $25.56	Professional		$18.57	$21.85	$25.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $29.27 / $87.57	Professional		$22.76	$29.27	$87.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $31.92 / $36.60	Facility		$16.57	$31.92	$36.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $27.48 / $32.52	Professional		$3.25	$27.48	$32.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $33.65 / $39.02	Facility		$31.92	$33.65	$39.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $32.52 / $35.25	Professional		$32.52	$32.52	$35.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $29.08 / $42.46	Facility		$16.57	$29.08	$42.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $29.08 / $33.65	Professional		$21.85	$29.08	$33.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.70 / $31.70	Professional		$31.70	$31.70	$31.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $15.98 / $30.39	Professional		$15.52	$15.98	$30.39