Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $63.61	Professional		$19.48	$19.48	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $51.00	Facility		$18.38	$18.38	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.97	Professional		$19.48	$19.48	$22.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $44.05 / $50.82	Professional		$33.77	$44.05	$50.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $41.69	Facility		$19.48	$19.48	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $23.18 / $25.32	Professional		$19.48	$23.18	$25.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $20.21 / $58.44	Facility		$18.38	$20.21	$58.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $24.90 / $41.69	Facility		$19.48	$24.90	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $37.50 / $37.50	Professional		$19.48	$37.50	$37.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $19.48 / $19.48	Professional		$18.51	$19.48	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.40	Professional		$19.48	$19.48	$22.40