Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $43.95 / $47.22	Facility		$24.29	$43.95	$47.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $24.53 / $54.55	Professional		$23.61	$24.53	$54.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $36.18 / $48.76	Facility		$22.27	$36.18	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $25.61	Professional		$23.61	$23.61	$25.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $53.27 / $67.23	Professional		$23.61	$53.27	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $33.76 / $50.76	Facility		$13.82	$33.76	$50.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $25.02 / $30.69	Professional		$23.61	$25.02	$30.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $27.50 / $70.83	Facility		$23.61	$27.50	$70.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $37.20 / $70.88	Facility		$22.27	$37.20	$70.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $25.61 / $36.02	Professional		$9.07	$25.61	$36.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $27.15	Professional		$23.61	$23.61	$27.15