Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $23.99	Professional		$10.96	$14.79	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $52.48 / $66.07	Professional		$20.42	$52.48	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.89 / $28.18	Facility		$16.22	$20.89	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $28.84	Professional		$19.95	$21.38	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $27.54	Facility		$21.38	$26.30	$27.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $27.54	Professional		$23.99	$26.92	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $34.67	Facility		$14.45	$22.39	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $70.79	Professional		$13.49	$25.70	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $102.33	Facility		$22.39	$38.02	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $30.20	Professional		$27.54	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $39.81 / $53.70	Facility		$12.30	$39.81	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $23.44	Professional		$11.22	$12.30	$23.44