Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.93	Professional		$26.94	$26.94	$29.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $42.84 / $46.50	Facility		$25.42	$42.84	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $31.77	Professional		$26.94	$26.94	$31.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $64.04 / $87.08	Professional		$51.91	$64.04	$87.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $26.94 / $75.65	Facility		$22.72	$26.94	$75.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $28.56 / $33.68	Professional		$26.94	$28.56	$33.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $26.94 / $61.18	Facility		$25.17	$26.94	$61.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $29.36 / $75.65	Facility		$24.61	$29.36	$75.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $31.78 / $43.35	Professional		$26.94	$31.78	$43.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.94 / $26.94	Professional		$25.59	$26.94	$26.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $32.33	Professional		$26.94	$26.94	$32.33