Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $22.27 / $36.60	Facility		$18.21	$22.27	$36.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $332.58	Professional		$18.30	$18.48	$332.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $25.47 / $36.02	Facility		$17.26	$25.47	$36.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $19.85	Professional		$18.30	$18.30	$19.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $39.77 / $47.66	Professional		$17.86	$39.77	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $26.17 / $39.35	Facility		$18.30	$26.17	$39.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $19.39 / $23.79	Professional		$18.30	$19.39	$23.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $22.76 / $54.63	Facility		$18.21	$22.76	$54.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $25.47 / $39.35	Facility		$18.30	$25.47	$39.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $21.41 / $22.50	Professional		$18.30	$21.41	$22.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $27.63 / $62.49	Facility		$18.82	$27.63	$62.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30