Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $17.76 / $28.46	Facility		$14.21	$17.76	$28.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.37 / $18.25	Professional		$14.21	$14.37	$18.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $20.54 / $28.68	Facility		$13.43	$20.54	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $15.44	Professional		$14.23	$14.23	$15.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $31.24 / $38.31	Professional		$14.03	$31.24	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $20.35 / $30.59	Facility		$14.23	$20.35	$30.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.09 / $17.79	Professional		$14.23	$15.09	$17.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.53 / $29.49	Facility		$14.20	$14.53	$29.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $15.74 / $28.08	Facility		$14.58	$15.74	$28.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $17.14 / $18.14	Professional		$14.23	$17.14	$18.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $15.34 / $42.48	Facility		$12.03	$15.34	$42.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23