Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $36.31	Facility		$15.14	$21.88	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.50	Professional		$15.14	$15.14	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.38 / $30.20	Facility		$14.13	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.22	Professional		$15.14	$15.14	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $38.90	Professional		$15.14	$32.36	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $30.20	Facility		$15.14	$15.85	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $19.50	Professional		$15.14	$15.85	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $30.90	Facility		$15.14	$18.62	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.38 / $44.67	Facility		$15.14	$21.38	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $79.43	Professional		$15.14	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.99 / $48.98	Facility		$15.49	$23.99	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $36.31	Facility		$15.14	$15.14	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14