Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.11	Professional		$15.85	$19.95	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $74.13 / $91.20	Professional		$28.84	$74.13	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $39.81	Facility		$22.39	$29.51	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $40.74	Professional		$27.54	$30.20	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $38.90	Facility		$29.51	$36.31	$38.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $38.90	Professional		$33.88	$37.15	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $47.86	Facility		$20.42	$30.90	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $35.48 / $70.79	Professional		$15.49	$35.48	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $52.48 / $144.54	Facility		$30.90	$52.48	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $41.69	Professional		$38.02	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $56.23 / $74.13	Facility		$16.98	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $32.36	Professional		$15.49	$16.98	$32.36