Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $24.87 / $44.04	Facility		$18.95	$24.87	$44.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.23 / $30.24	Professional		$22.01	$22.23	$30.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $29.40 / $41.66	Facility		$20.77	$29.40	$41.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $23.89	Professional		$22.02	$22.02	$23.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $41.91 / $54.46	Professional		$18.82	$41.91	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $31.49 / $47.34	Facility		$22.02	$31.49	$47.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $24.22 / $28.63	Professional		$22.02	$24.22	$28.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $24.93 / $45.80	Facility		$18.95	$24.93	$45.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $31.49 / $47.34	Facility		$22.02	$31.49	$47.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.08 / $26.31	Professional		$22.02	$25.08	$26.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $38.07 / $78.30	Facility		$23.03	$38.07	$78.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02