Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $28.78 / $28.78	Facility		$28.78	$28.78	$28.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $93.31	Professional		$16.22	$16.22	$93.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Facility		$22.28	$22.28	$22.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $26.23	Professional		$18.94	$22.28	$26.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $28.47 / $92.29	Professional		$22.14	$28.47	$92.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.21 / $36.36	Facility		$16.22	$30.21	$36.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $27.31 / $34.54	Professional		$3.16	$27.31	$34.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $34.97 / $40.02	Facility		$31.63	$34.97	$40.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $34.79 / $36.38	Professional		$31.63	$34.79	$36.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $22.28 / $36.36	Facility		$11.56	$22.28	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $28.46 / $35.53	Professional		$22.28	$28.46	$35.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $45.72 / $53.78	Facility		$45.72	$45.72	$53.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $31.02	Professional		$31.02	$31.02	$31.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.55 / $31.02	Professional		$16.13	$16.55	$31.02