Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $34.52	Facility		$30.75	$30.75	$34.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.44 / $42.46	Professional		$19.01	$23.44	$42.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $35.75	Professional		$29.16	$29.16	$35.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $61.74 / $77.95	Professional		$44.32	$61.74	$77.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $30.75 / $59.52	Facility		$21.27	$30.75	$59.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $48.18 / $74.50	Professional		$35.50	$48.18	$74.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $47.45 / $52.36	Facility		$30.66	$47.45	$52.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $30.75 / $59.52	Facility		$21.06	$30.75	$59.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $37.09 / $62.44	Professional		$24.08	$37.09	$62.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $41.70 / $62.43	Professional		$33.57	$41.70	$62.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $51.10 / $85.46	Professional		$38.49	$51.10	$85.46