Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $35.83 / $35.83	Facility		$35.83	$35.83	$35.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $20.62 / $116.77	Professional		$20.29	$20.62	$116.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Facility		$27.79	$27.79	$27.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $27.79 / $32.86	Professional		$23.62	$27.79	$32.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $35.47 / $114.88	Professional		$27.59	$35.47	$114.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $34.54 / $45.97	Facility		$20.29	$34.54	$45.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $34.52 / $43.67	Professional		$3.94	$34.52	$43.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $42.23 / $50.58	Facility		$39.42	$42.23	$50.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $42.23 / $45.98	Professional		$36.53	$42.23	$45.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $32.90 / $45.97	Facility		$20.29	$32.90	$45.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $35.61 / $44.91	Professional		$27.79	$35.61	$44.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $57.22 / $67.30	Facility		$57.22	$57.22	$67.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $38.81 / $38.81	Professional		$38.81	$38.81	$38.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $20.19 / $38.81	Professional		$19.41	$20.19	$38.81