Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $33.15 / $55.72	Facility		$27.86	$33.15	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $30.65 / $48.48	Professional		$25.59	$30.65	$48.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $34.76 / $47.24	Facility		$24.14	$34.76	$47.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $27.76	Professional		$25.59	$25.59	$27.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $61.08 / $70.75	Professional		$25.59	$61.08	$70.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $36.59 / $55.02	Facility		$25.59	$36.59	$55.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $27.13 / $31.99	Professional		$25.59	$27.13	$31.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $31.54 / $76.77	Facility		$25.59	$31.54	$76.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $36.59 / $55.02	Facility		$25.59	$36.59	$55.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $30.05 / $31.89	Professional		$26.65	$30.05	$31.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59