Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.16 / $22.95	Professional		$12.00	$18.16	$22.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.22	Professional		$16.22	$16.22	$22.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $66.76 / $83.37	Professional		$20.39	$66.76	$83.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $25.97 / $32.04	Facility		$18.16	$25.97	$32.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $29.13 / $39.33	Professional		$26.22	$29.13	$39.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.28 / $37.86	Facility		$28.28	$28.28	$37.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $27.20 / $33.07	Facility		$18.16	$27.20	$33.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.17 / $39.36	Professional		$16.22	$25.17	$39.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $88.41 / $112.40	Facility		$44.95	$88.41	$112.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $32.04 / $32.04	Professional		$25.34	$32.04	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $14.24 / $27.46	Professional		$13.27	$14.24	$27.46