Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $26.26 / $28.99	Facility		$24.26	$26.26	$28.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $17.05 / $64.09	Professional		$11.53	$17.05	$64.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $26.80 / $34.99	Professional		$18.00	$26.80	$34.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $26.56 / $29.91	Professional		$21.28	$26.56	$29.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $26.55 / $36.68	Facility		$17.05	$26.55	$36.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.04 / $37.13	Professional		$18.68	$23.04	$37.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $22.78 / $24.48	Facility		$17.44	$22.78	$24.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $28.43 / $36.68	Facility		$17.05	$28.43	$36.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $27.49 / $34.90	Professional		$21.35	$27.49	$34.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $28.72 / $36.71	Professional		$21.53	$28.72	$36.71
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.83 / $36.89	Professional		$18.55	$24.83	$36.89