Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $41.58 / $99.18	Facility		$22.06	$41.58	$99.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.06 / $38.38	Professional		$20.72	$22.06	$38.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $30.89 / $42.58	Facility		$19.54	$30.89	$42.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $22.47	Professional		$20.72	$20.72	$22.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $48.30 / $57.01	Professional		$20.72	$48.30	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $26.08 / $44.55	Facility		$8.26	$26.08	$44.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $21.96 / $25.90	Professional		$6.37	$21.96	$25.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $24.97 / $62.16	Facility		$20.72	$24.97	$62.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $29.63 / $44.88	Facility		$19.54	$29.63	$44.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $22.47 / $28.05	Professional		$5.71	$22.47	$28.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $23.83	Professional		$20.72	$20.72	$23.83