Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $16.55 / $28.68	Facility		$14.12	$16.55	$28.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $14.48 / $28.45	Professional		$14.26	$14.48	$28.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $19.30 / $27.28	Facility		$13.53	$19.30	$27.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $15.55	Professional		$14.34	$14.34	$15.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $31.24 / $36.20	Professional		$14.03	$31.24	$36.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $20.51 / $31.22	Facility		$14.34	$20.51	$31.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.20 / $18.64	Professional		$14.34	$15.20	$18.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.64 / $29.83	Facility		$14.12	$17.64	$29.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $14.35 / $25.46	Facility		$13.21	$14.35	$25.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $15.56 / $17.05	Professional		$9.00	$15.56	$17.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $14.34 / $37.78	Facility		$13.76	$14.34	$37.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34