Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $34.07 / $34.07	Facility		$34.07	$34.07	$34.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.54 / $111.87	Professional		$19.44	$19.54	$111.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Facility		$27.09	$27.09	$27.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $32.74	Professional		$23.03	$27.09	$32.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $33.75 / $109.24	Professional		$26.25	$33.75	$109.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $33.71 / $44.87	Facility		$19.44	$33.71	$44.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $33.71 / $37.50	Professional		$3.63	$33.71	$37.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $40.34 / $48.75	Facility		$37.50	$40.34	$48.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $37.50 / $44.88	Professional		$33.75	$37.50	$44.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $32.10 / $44.87	Facility		$19.44	$32.10	$44.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $34.11 / $43.69	Professional		$27.09	$34.11	$43.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $54.82 / $64.48	Facility		$54.82	$54.82	$64.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $37.19	Professional		$37.19	$37.19	$37.19
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $19.34 / $37.19	Professional		$18.22	$19.34	$37.19