Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.79 / $30.08	Facility		$15.03	$18.79	$30.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.19 / $39.46	Professional		$15.04	$15.19	$39.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $21.27 / $30.04	Facility		$14.19	$21.27	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $16.32	Professional		$15.04	$15.04	$16.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $3.93 / $39.14	Professional		$1.59	$3.93	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $19.80 / $32.34	Facility		$15.04	$19.80	$32.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.94 / $19.55	Professional		$15.04	$15.94	$19.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.79 / $45.09	Facility		$15.03	$18.79	$45.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $21.27 / $32.34	Facility		$15.04	$21.27	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.82 / $18.93	Professional		$15.04	$16.82	$18.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $24.02 / $55.19	Facility		$15.34	$24.02	$55.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04