Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $44.40 / $137.54	Facility		$22.97	$44.40	$137.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $21.53 / $30.00	Professional		$13.26	$21.53	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $29.63 / $41.16	Facility		$20.11	$29.63	$41.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $23.12	Professional		$21.31	$21.31	$23.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $46.87 / $55.32	Professional		$21.05	$46.87	$55.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $21.31 / $45.82	Facility		$2.90	$21.31	$45.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.59 / $26.64	Professional		$21.31	$22.59	$26.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.50 / $44.32	Facility		$21.20	$26.50	$44.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $29.63 / $45.82	Facility		$20.11	$29.63	$45.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $23.12 / $26.18	Professional		$5.46	$23.12	$26.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $25.57	Professional		$21.31	$21.31	$25.57