Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $37.15	Professional		$18.20	$22.91	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $102.33	Professional		$32.36	$83.18	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $43.65	Facility		$25.12	$33.11	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $45.71	Professional		$30.90	$33.88	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $43.65	Facility		$33.11	$40.74	$43.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $43.65	Professional		$38.02	$41.69	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $52.48	Facility		$21.38	$34.67	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $70.79	Professional		$19.50	$39.81	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $162.18	Facility		$34.67	$58.88	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $46.77	Professional		$42.66	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $63.10 / $83.18	Facility		$19.05	$63.10	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $36.31	Professional		$17.38	$19.05	$36.31