Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $39.40 / $50.54	Facility		$27.07	$39.40	$50.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.07 / $90.70	Professional		$25.27	$27.07	$90.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $43.13 / $58.08	Facility		$23.84	$43.13	$58.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $27.41	Professional		$25.27	$25.27	$27.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $59.66 / $80.01	Professional		$25.27	$59.66	$80.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $36.14 / $54.33	Facility		$10.68	$36.14	$54.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $26.78 / $31.59	Professional		$18.96	$26.78	$31.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $30.65 / $75.81	Facility		$25.27	$30.65	$75.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $43.13 / $63.56	Facility		$23.84	$43.13	$63.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $29.80 / $38.10	Professional		$20.22	$29.80	$38.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27