Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.92 / $36.31	Professional		$14.13	$26.92	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $194.98 / $194.98	Professional		$52.48	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $120.23	Professional		$77.62	$100.00	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $60.26	Facility		$16.22	$32.36	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $32.36	Professional		$14.13	$25.70	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $67.61	Facility		$39.81	$54.95	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $75.86	Facility		$20.89	$36.31	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $194.98	Professional		$70.79	$79.43	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $100.00	Professional		$26.92	$58.88	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $18.62 / $67.61	Professional		$3.39	$18.62	$67.61