Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $52.48	Facility		$20.89	$29.51	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $28.18	Professional		$20.89	$21.88	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $44.67	Facility		$23.44	$23.44	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $48.98	Facility		$21.38	$26.30	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $34.67	Professional		$20.89	$21.88	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $41.69	Facility		$29.51	$37.15	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $38.90	Facility		$21.38	$23.44	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $70.79	Professional		$22.39	$26.30	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $75.86	Facility		$23.44	$37.15	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $56.23	Facility		$23.44	$23.44	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $24.55	Professional		$21.88	$21.88	$24.55