Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $10.82 / $62.32	Professional		$10.82	$10.82	$62.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Facility		$14.58	$14.58	$14.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.58 / $17.07	Professional		$12.39	$14.58	$17.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.00 / $61.20	Professional		$14.78	$19.00	$61.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $18.27 / $24.30	Facility		$10.82	$18.27	$24.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $18.27 / $20.71	Professional		$1.97	$18.27	$20.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $22.22 / $26.75	Facility		$21.11	$22.22	$26.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $22.22 / $24.32	Professional		$21.11	$22.22	$24.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $17.39 / $24.30	Facility		$6.93	$17.39	$24.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $19.00 / $23.70	Professional		$14.58	$19.00	$23.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $35.92	Facility		$30.54	$30.54	$35.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $10.78 / $20.71	Professional		$9.85	$10.78	$20.71