Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $33.25 / $33.25	Facility		$33.25	$33.25	$33.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.77 / $65.00	Professional		$3.00	$8.77	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $55.08 / $58.71	Professional		$18.68	$55.08	$58.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $35.43 / $41.05	Professional		$15.91	$35.43	$41.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $38.32 / $65.15	Facility		$24.84	$38.32	$65.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $30.36 / $53.04	Professional		$23.76	$30.36	$53.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $32.96 / $46.92	Facility		$24.89	$32.96	$46.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $42.05 / $65.15	Facility		$26.80	$42.05	$65.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.24 / $48.93	Professional		$15.18	$31.24	$48.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $218.47 / $263.70	Facility		$170.44	$218.47	$263.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $43.12 / $43.12	Professional		$43.12	$43.12	$43.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $16.75 / $52.61	Professional		$14.44	$16.75	$52.61