Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $28.96 / $69.08	Facility		$17.27	$28.96	$69.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.27 / $45.25	Professional		$15.33	$17.27	$45.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $23.90 / $33.54	Facility		$14.46	$23.90	$33.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $16.63	Professional		$15.32	$15.32	$16.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $37.63 / $44.25	Professional		$15.33	$37.63	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $21.92 / $35.26	Facility		$15.33	$21.92	$35.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $16.23 / $19.93	Professional		$15.33	$16.23	$19.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $19.55 / $35.84	Facility		$15.32	$19.55	$35.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $27.85 / $44.56	Facility		$15.33	$27.85	$44.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $20.70 / $29.10	Professional		$16.63	$20.70	$29.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33