Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $95.50	Facility		$31.62	$47.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $95.50	Professional		$15.85	$19.95	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $100.00	Professional		$28.84	$41.69	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $52.48	Professional		$20.42	$43.65	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.90 / $194.98	Facility		$20.42	$38.90	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $151.36	Professional		$30.90	$46.77	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $173.78	Facility		$20.42	$28.84	$173.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.90 / $194.98	Facility		$20.42	$38.90	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $177.83	Professional		$27.54	$45.71	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $169.82	Professional		$30.90	$34.67	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $123.03	Professional		$19.50	$38.90	$123.03