Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $25.99 / $45.08	Facility		$22.21	$25.99	$45.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.77 / $30.95	Professional		$22.54	$22.77	$30.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $36.61 / $43.02	Facility		$21.26	$36.61	$43.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $25.52	Professional		$22.54	$22.54	$25.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $49.01 / $62.05	Professional		$38.83	$49.01	$62.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $23.67 / $48.46	Facility		$22.21	$23.67	$48.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $29.30	Professional		$22.54	$23.89	$29.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $22.54 / $46.09	Facility		$20.57	$22.54	$46.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $24.99 / $48.46	Facility		$22.54	$24.99	$48.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.99 / $27.90	Professional		$22.39	$24.99	$27.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $31.70 / $71.69	Facility		$18.66	$31.70	$71.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $24.79	Professional		$22.54	$22.54	$24.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $25.92	Professional		$22.54	$22.54	$25.92