Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $9.18 / $19.18	Facility		$9.18	$9.18	$19.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $19.73 / $73.59	Professional		$17.94	$19.73	$73.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $22.18	Facility		$22.18	$22.18	$22.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $22.18	Professional		$16.19	$16.19	$22.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $63.22 / $82.43	Professional		$27.91	$63.22	$82.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $31.87 / $39.86	Facility		$22.14	$31.87	$39.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $36.97 / $39.86	Professional		$29.35	$36.97	$39.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $32.89 / $39.86	Facility		$29.20	$32.89	$39.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $35.88 / $39.86	Professional		$29.90	$35.88	$39.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $33.97 / $41.86	Facility		$19.96	$33.97	$41.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $34.90 / $43.86	Professional		$16.19	$34.90	$43.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $66.30 / $139.87	Facility		$33.21	$66.30	$139.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $43.86 / $43.86	Professional		$34.29	$43.86	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.92 / $28.46	Professional		$14.04	$14.92	$28.46