Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Facility		$30.55	$30.55	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.79 / $110.55	Professional		$17.03	$20.79	$110.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $25.17	Facility		$25.17	$25.17	$25.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $25.17	Professional		$21.39	$21.39	$25.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $73.86 / $93.66	Professional		$31.66	$73.86	$93.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $39.57 / $68.45	Facility		$19.78	$39.57	$68.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $35.61 / $41.55	Professional		$29.72	$35.61	$41.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $51.44 / $67.00	Facility		$38.64	$51.44	$67.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $39.56 / $66.36	Facility		$19.78	$39.56	$66.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $35.76 / $44.63	Professional		$21.39	$35.76	$44.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $65.80 / $138.83	Facility		$32.01	$65.80	$138.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $43.53 / $43.53	Professional		$33.63	$43.53	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $16.78 / $32.01	Professional		$15.64	$16.78	$32.01