Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $29.37 / $29.37	Facility		$29.37	$29.37	$29.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $17.22 / $99.10	Professional		$16.48	$17.22	$99.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $22.73	Facility		$22.73	$22.73	$22.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.73 / $27.71	Professional		$19.32	$22.73	$27.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $29.86 / $94.15	Professional		$23.23	$29.86	$94.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $25.46 / $33.89	Facility		$16.48	$25.46	$33.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $25.43 / $33.18	Professional		$2.58	$25.43	$33.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $33.18 / $38.89	Facility		$33.09	$33.18	$38.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $33.89 / $33.89	Professional		$29.86	$33.89	$33.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $25.46 / $33.89	Facility		$16.48	$25.46	$33.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $28.92 / $33.09	Professional		$22.73	$28.92	$33.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $54.64	Facility		$46.45	$46.45	$54.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $31.52 / $31.52	Professional		$31.52	$31.52	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $16.09 / $31.41	Professional		$15.91	$16.09	$31.41