Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $18.16 / $29.70	Facility		$14.91	$18.16	$29.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.99 / $37.26	Professional		$14.85	$14.99	$37.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $20.18 / $28.56	Facility		$14.00	$20.18	$28.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $16.11	Professional		$14.84	$14.84	$16.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $32.67 / $37.84	Professional		$14.67	$32.67	$37.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $21.24 / $31.93	Facility		$14.85	$21.24	$31.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $15.74 / $19.30	Professional		$14.85	$15.74	$19.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $18.55 / $30.95	Facility		$14.84	$18.55	$30.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $15.51 / $27.94	Facility		$14.50	$15.51	$27.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.46 / $17.88	Professional		$14.84	$17.46	$17.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $16.84 / $41.93	Facility		$14.85	$16.84	$41.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Professional		$14.85	$14.85	$14.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Professional		$14.85	$14.85	$14.85