Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $21.96 / $36.29	Facility		$18.39	$21.96	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.39 / $37.96	Professional		$18.14	$18.39	$37.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $25.04 / $35.14	Facility		$17.12	$25.04	$35.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $19.69	Professional		$18.14	$18.14	$19.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $40.47 / $46.90	Professional		$18.14	$40.47	$46.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $25.95 / $39.02	Facility		$18.14	$25.95	$39.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $19.97 / $23.60	Professional		$18.14	$19.97	$23.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $22.69 / $38.15	Facility		$18.14	$22.69	$38.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $18.98 / $33.78	Facility		$17.52	$18.98	$33.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.11 / $22.11	Professional		$18.14	$21.11	$22.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $18.14 / $49.18	Facility		$17.94	$18.14	$49.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14