Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $28.64 / $77.20	Facility		$21.72	$28.64	$77.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.91 / $45.98	Professional		$19.32	$22.91	$45.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $29.24 / $41.82	Facility		$18.23	$29.24	$41.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $20.97	Professional		$19.32	$19.32	$20.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $50.42 / $58.41	Professional		$19.32	$50.42	$58.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $27.64 / $41.56	Facility		$10.32	$27.64	$41.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $20.49 / $24.16	Professional		$19.32	$20.49	$24.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $26.10 / $47.56	Facility		$19.32	$26.10	$47.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $28.22 / $41.82	Facility		$18.23	$28.22	$41.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $20.97 / $26.06	Professional		$8.82	$20.97	$26.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32