Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $33.78 / $33.78	Facility		$33.78	$33.78	$33.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $22.28 / $128.25	Professional		$21.97	$22.28	$128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.34 / $32.20	Professional		$24.09	$28.34	$32.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $36.94 / $108.29	Professional		$28.73	$36.94	$108.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $41.04 / $54.61	Facility		$21.97	$41.04	$54.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $38.99 / $41.98	Professional		$4.09	$38.99	$41.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $45.63 / $53.33	Facility		$38.97	$45.63	$53.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $41.04 / $50.33	Professional		$38.60	$41.04	$50.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $39.11 / $54.61	Facility		$21.97	$39.11	$54.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $38.54 / $48.05	Professional		$32.20	$38.54	$48.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $61.94 / $72.86	Facility		$61.94	$61.94	$72.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $42.01 / $42.01	Professional		$42.01	$42.01	$42.01
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.18 / $38.93	Professional		$20.26	$22.18	$38.93