Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $18.79 / $89.14	Professional		$13.79	$18.79	$89.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.14	Professional		$21.37	$21.37	$25.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $59.66 / $77.81	Professional		$21.62	$59.66	$77.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $25.74 / $30.89	Facility		$18.79	$25.74	$30.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $29.03 / $30.88	Professional		$22.98	$29.03	$30.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $30.88 / $35.27	Facility		$27.79	$30.88	$35.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $25.14 / $30.89	Facility		$18.79	$25.14	$30.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $27.05 / $33.97	Professional		$21.37	$27.05	$33.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $51.38 / $108.38	Facility		$25.74	$51.38	$108.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $33.97 / $33.97	Professional		$26.87	$33.97	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $14.11 / $27.05	Professional		$13.48	$14.11	$27.05