Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $41.69	Professional		$15.85	$20.89	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $95.50	Professional		$30.20	$77.62	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $42.66	Facility		$23.44	$29.51	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $42.66	Professional		$28.84	$31.62	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $39.81	Facility		$31.62	$35.48	$39.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $39.81	Professional		$35.48	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $48.98	Facility		$21.38	$32.36	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $70.79	Professional		$16.98	$37.15	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $56.23 / $151.36	Facility		$33.11	$56.23	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $44.67	Professional		$39.81	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $77.62	Facility		$17.78	$26.30	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $33.88	Professional		$16.22	$17.78	$33.88