Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $32.60 / $32.60	Facility		$32.60	$32.60	$32.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $107.15	Professional		$18.62	$18.62	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $29.73	Professional		$21.20	$24.94	$29.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $33.57 / $104.52	Professional		$26.11	$33.57	$104.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.51 / $37.29	Facility		$18.62	$32.51	$37.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $28.00 / $37.29	Professional		$3.72	$28.00	$37.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $37.29 / $41.03	Facility		$33.57	$37.29	$41.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $37.29 / $37.29	Professional		$33.57	$37.29	$37.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.21 / $43.24	Facility		$18.62	$31.21	$43.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $32.65 / $36.42	Professional		$24.94	$32.65	$36.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $52.51 / $61.76	Facility		$52.51	$52.51	$61.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $35.50 / $35.50	Professional		$35.50	$35.50	$35.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $18.89 / $36.42	Professional		$18.53	$18.89	$36.42