Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $29.37 / $29.37	Facility		$29.37	$29.37	$29.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $16.28 / $93.27	Professional		$16.21	$16.28	$93.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.27 / $25.52	Professional		$18.07	$21.27	$25.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $29.22 / $94.15	Professional		$22.73	$29.22	$94.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $29.49 / $33.84	Facility		$16.21	$29.49	$33.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $25.37 / $32.47	Professional		$3.21	$25.37	$32.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $32.47 / $36.47	Facility		$30.09	$32.47	$36.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $32.47 / $34.67	Professional		$32.28	$32.47	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $28.09 / $39.22	Facility		$16.21	$28.09	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $28.45 / $32.28	Professional		$21.27	$28.45	$32.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $53.76	Facility		$45.70	$45.70	$53.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $31.01 / $31.01	Professional		$31.01	$31.01	$31.01
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $31.01	Professional		$16.13	$16.13	$31.01