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 $15.14 / $19.95 / $32.36	Professional		$15.14	$19.95	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $95.50 / $114.82	Professional		$40.74	$95.50	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.02 / $63.10	Facility		$20.89	$38.02	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $72.44	Professional		$19.95	$61.66	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $57.54	Facility		$47.86	$54.95	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $63.10	Facility		$17.78	$34.67	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $53.70 / $79.43	Professional		$16.22	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $151.36	Facility		$58.88	$120.23	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $64.57	Professional		$58.88	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $75.86 / $102.33	Facility		$25.12	$75.86	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $37.15	Professional		$16.60	$19.50	$37.15