Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $19.84 / $33.08	Facility		$18.04	$19.84	$33.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.04 / $27.96	Professional		$16.54	$18.04	$27.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $19.62 / $32.08	Facility		$15.60	$19.62	$32.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $17.95	Professional		$16.54	$16.54	$17.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $39.20 / $46.07	Professional		$16.54	$39.20	$46.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $23.65 / $41.84	Facility		$16.54	$23.65	$41.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $17.53 / $20.68	Professional		$14.69	$17.53	$20.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $20.68 / $37.44	Facility		$16.54	$20.68	$37.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $23.65 / $41.03	Facility		$16.54	$23.65	$41.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $17.94 / $21.51	Professional		$13.40	$17.94	$21.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54