Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $108.75	Facility		$25.00	$25.00	$108.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $12.54 / $86.75	Professional		$11.84	$12.54	$86.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $62.56 / $72.64	Facility		$40.63	$62.56	$72.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.15 / $32.34	Professional		$7.60	$13.15	$32.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $60.74 / $65.53	Professional		$25.00	$60.74	$65.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $25.00 / $52.14	Facility		$12.45	$25.00	$52.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $25.00 / $33.75	Professional		$13.60	$25.00	$33.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $26.25 / $37.50	Facility		$25.00	$26.25	$37.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $28.75 / $52.14	Facility		$12.50	$28.75	$52.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $27.50 / $35.00	Professional		$12.79	$27.50	$35.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $73.80 / $98.15	Facility		$48.75	$73.80	$98.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $22.31 / $61.54	Professional		$10.13	$22.31	$61.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $15.00 / $25.00	Professional		$8.08	$15.00	$25.00