Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.33 / $86.02	Professional		$12.94	$15.33	$86.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $18.96	Professional		$16.12	$16.12	$18.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $55.40 / $71.19	Professional		$23.86	$55.40	$71.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $29.82 / $51.59	Facility		$14.90	$29.82	$51.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $26.84 / $31.31	Professional		$22.38	$26.84	$31.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $38.77 / $50.92	Facility		$29.12	$38.77	$50.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $50.92 / $50.92	Professional		$50.92	$50.92	$50.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $29.80 / $50.15	Facility		$14.90	$29.80	$50.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $26.95 / $33.63	Professional		$16.12	$26.95	$33.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $49.58 / $104.61	Facility		$24.12	$49.58	$104.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $32.79 / $32.79	Professional		$25.35	$32.79	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $12.64 / $24.12	Professional		$11.69	$12.64	$24.12