Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $26.92	Professional		$12.02	$15.14	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $57.54 / $70.79	Professional		$20.89	$57.54	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $30.90	Facility		$16.60	$20.89	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $30.20	Professional		$20.42	$22.39	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $29.51	Facility		$21.88	$26.92	$29.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $29.51	Professional		$24.55	$27.54	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $34.67	Facility		$15.14	$23.44	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $70.79	Professional		$13.49	$26.30	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.90 / $104.71	Facility		$22.91	$38.90	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $30.90	Professional		$28.18	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $57.54	Facility		$14.45	$17.78	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $25.12	Professional		$12.02	$13.18	$25.12