Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $24.55	Facility		$20.89	$24.55	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $26.92	Professional		$12.02	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $74.13	Professional		$56.23	$61.66	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $58.88	Facility		$15.49	$26.92	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $25.70	Professional		$12.88	$20.89	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $43.65 / $53.70	Facility		$41.69	$43.65	$53.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $58.88	Facility		$14.45	$26.92	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $79.43	Professional		$19.95	$19.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Facility		$39.81	$72.44	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $74.13	Professional		$56.23	$61.66	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $25.12	Facility		$17.38	$17.38	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.38 / $28.84	Professional		$15.85	$17.38	$28.84