Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $37.15	Professional		$15.14	$28.84	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $154.88 / $154.88	Professional		$33.88	$154.88	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $89.13	Professional		$52.48	$69.18	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $32.36 / $57.54	Facility		$15.49	$32.36	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $37.15	Professional		$15.14	$28.18	$37.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $67.61	Facility		$43.65	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $57.54	Facility		$15.49	$31.62	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $79.43 / $154.88	Professional		$33.88	$79.43	$154.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $85.11	Professional		$50.12	$57.54	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $91.20	Professional		$43.65	$63.10	$91.20