Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $19.30 / $37.71	Professional		$9.34	$19.30	$37.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $48.34	Professional		$17.35	$17.35	$48.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $24.09 / $27.60	Professional		$20.34	$24.09	$27.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $33.18 / $52.62	Facility		$10.84	$33.18	$52.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $20.34 / $22.11	Facility		$13.63	$20.34	$22.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $36.79 / $52.62	Facility		$10.84	$36.79	$52.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $21.27 / $51.64	Professional		$17.35	$21.27	$51.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $39.77 / $45.80	Facility		$33.26	$39.77	$45.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $25.44 / $60.45	Professional		$17.87	$25.44	$60.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.38 / $28.49	Professional		$7.08	$12.38	$28.49