Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $44.63 / $96.77	Facility		$31.67	$44.63	$96.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $38.36 / $88.87	Professional		$9.69	$38.36	$88.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $38.56 / $89.28	Professional		$24.13	$38.56	$89.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $44.42 / $52.11	Professional		$38.47	$44.42	$52.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $36.52 / $195.49	Facility		$20.30	$36.52	$195.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $47.18 / $149.82	Professional		$30.43	$47.18	$149.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $30.44 / $177.51	Facility		$20.35	$30.44	$177.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Professional		$31.29	$31.29	$31.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $40.03 / $78.30	Facility		$30.96	$40.03	$78.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $41.60 / $173.95	Professional		$26.23	$41.60	$173.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $42.87 / $58.68	Professional		$31.12	$42.87	$58.68
United Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $45.24 / $121.73	Professional		$19.39	$45.24	$121.73