Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $54.04	Facility		$22.97	$22.97	$54.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $22.97	Professional		$22.43	$22.43	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $45.94 / $45.94	Facility		$45.94	$45.94	$45.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $29.84 / $35.72	Professional		$13.40	$29.84	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $32.07 / $48.22	Facility		$17.42	$32.07	$48.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $25.70 / $25.70	Professional		$16.86	$25.70	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $27.75 / $28.14	Facility		$23.10	$27.75	$28.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $32.07 / $48.22	Facility		$22.43	$32.07	$48.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $28.15 / $33.39	Professional		$16.86	$28.15	$33.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $31.24 / $76.14	Facility		$21.66	$31.24	$76.14
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Professional		$22.52	$22.52	$22.52