Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $26.30	Facility		$21.88	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $28.18	Professional		$12.88	$19.05	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $79.43	Professional		$60.26	$66.07	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $63.10	Facility		$16.60	$28.84	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $28.18	Professional		$14.13	$21.88	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $47.86 / $57.54	Facility		$46.77	$47.86	$57.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $63.10	Facility		$15.14	$28.84	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $79.43	Professional		$20.89	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $117.49	Facility		$42.66	$75.86	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $79.43	Professional		$58.88	$66.07	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $30.20	Facility		$18.20	$18.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $30.90	Professional		$16.98	$18.62	$30.90