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 $19.30 / $20.23 / $116.49	Professional		$19.30	$20.23	$116.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $25.90	Facility		$25.90	$25.90	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $29.15	Professional		$22.02	$25.90	$29.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $34.04 / $108.29	Professional		$26.47	$34.04	$108.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $32.13 / $42.75	Facility		$19.30	$32.13	$42.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $32.13 / $37.82	Professional		$3.78	$32.13	$37.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $41.53 / $46.92	Facility		$37.82	$41.53	$46.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $39.64 / $46.42	Professional		$37.82	$39.64	$46.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $32.13 / $42.75	Facility		$19.30	$32.13	$42.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $33.86 / $41.53	Professional		$25.90	$33.86	$41.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $54.41 / $64.00	Facility		$54.41	$54.41	$64.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $36.39	Professional		$18.93	$18.93	$36.39