Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $27.02 / $27.02	Facility		$27.02	$27.02	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.43 / $88.35	Professional		$15.35	$15.43	$88.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.72 / $24.62	Professional		$17.61	$20.72	$24.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $26.75 / $86.62	Professional		$20.80	$26.75	$86.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $26.38 / $35.09	Facility		$15.35	$26.38	$35.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.49 / $29.72	Professional		$16.98	$26.49	$29.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $33.92 / $38.31	Facility		$29.72	$33.92	$38.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $31.31 / $34.83	Professional		$29.72	$31.31	$34.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $25.12 / $35.09	Facility		$15.35	$25.12	$35.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $26.94 / $33.92	Professional		$20.72	$26.94	$33.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $50.92	Facility		$43.29	$43.29	$50.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $29.36 / $29.36	Professional		$29.36	$29.36	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $15.28 / $29.36	Professional		$14.25	$15.28	$29.36