Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $23.82 / $31.40	Professional		$21.66	$23.82	$31.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.52	Professional		$21.88	$21.88	$28.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $76.70 / $100.03	Professional		$28.01	$76.70	$100.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $32.88 / $40.02	Facility		$24.00	$32.88	$40.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $37.61 / $42.02	Professional		$29.75	$37.61	$42.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $36.04 / $40.02	Facility		$31.76	$36.04	$40.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $38.54 / $40.02	Professional		$36.02	$38.54	$40.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $34.32 / $42.02	Facility		$24.00	$34.32	$42.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.04 / $44.02	Professional		$21.88	$35.04	$44.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $66.54 / $140.38	Facility		$33.34	$66.54	$140.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $44.02 / $44.02	Professional		$34.42	$44.02	$44.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $17.98 / $34.31	Professional		$16.93	$17.98	$34.31