Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $21.20 / $36.32	Facility		$18.29	$21.20	$36.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.34 / $22.23	Professional		$18.16	$18.34	$22.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $24.30 / $34.68	Facility		$17.13	$24.30	$34.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $19.70	Professional		$18.16	$18.16	$19.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $40.47 / $46.90	Professional		$18.16	$40.47	$46.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $25.97 / $39.04	Facility		$18.16	$25.97	$39.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $19.97 / $23.61	Professional		$18.16	$19.97	$23.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $22.70 / $54.48	Facility		$18.16	$22.70	$54.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $24.99 / $50.82	Facility		$18.16	$24.99	$50.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $21.38 / $21.58	Professional		$18.16	$21.38	$21.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $23.36 / $66.84	Facility		$14.89	$23.36	$66.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16