Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $20.45 / $33.68	Facility		$17.59	$20.45	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.59 / $36.72	Professional		$16.84	$17.59	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $23.51 / $33.36	Facility		$15.89	$23.51	$33.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $18.27	Professional		$16.84	$16.84	$18.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $38.35 / $44.44	Professional		$16.84	$38.35	$44.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $24.08 / $36.21	Facility		$16.84	$24.08	$36.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.85 / $21.89	Professional		$16.84	$17.85	$21.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $21.05 / $36.51	Facility		$16.84	$21.05	$36.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $18.25 / $31.46	Facility		$16.30	$18.25	$31.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $19.66 / $21.03	Professional		$16.84	$19.66	$21.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $17.75 / $48.03	Facility		$16.84	$17.75	$48.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84