Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $21.88	Professional		$10.96	$15.14	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $69.18	Professional		$25.12	$56.23	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $24.55 / $33.11	Facility		$19.95	$24.55	$33.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $35.48	Professional		$23.99	$26.30	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.18 / $32.36	Facility		$25.70	$28.18	$32.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $32.36	Professional		$28.18	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.12 / $38.90	Facility		$14.13	$25.12	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.90 / $70.79	Professional		$12.02	$30.90	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $125.89	Facility		$26.92	$45.71	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $36.31	Professional		$33.11	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $56.23	Facility		$11.22	$17.38	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $24.55	Professional		$11.48	$12.88	$24.55