Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $25.12	Professional		$10.96	$15.14	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $69.18	Professional		$25.12	$54.95	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $34.67	Facility		$20.42	$25.70	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $36.31	Professional		$24.55	$26.92	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.92 / $33.88	Facility		$24.55	$26.92	$33.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $33.88	Professional		$25.12	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $38.02	Facility		$15.14	$26.30	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $70.79	Professional		$12.30	$32.36	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $128.82	Facility		$28.18	$47.86	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $38.02	Professional		$34.67	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $54.95	Facility		$12.88	$16.98	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $23.99	Professional		$11.48	$12.59	$23.99