Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $45.27 / $47.00	Facility		$31.15	$45.27	$47.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.60 / $15.60 / $17.19	Facility	52	$15.60	$15.60	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.32 / $71.00	Professional		$14.13	$21.32	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $28.73 / $43.21	Professional		$17.25	$28.73	$43.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $30.25 / $36.29	Professional		$25.72	$30.25	$36.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $24.09 / $36.11	Facility		$13.54	$24.09	$36.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.23 / $36.69	Professional		$19.03	$26.23	$36.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $27.10 / $29.48	Facility		$20.09	$27.10	$29.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $26.39 / $35.69	Facility		$13.54	$26.39	$35.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $28.81 / $37.72	Professional		$19.27	$28.81	$37.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $29.00 / $38.63	Professional		$16.67	$29.00	$38.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $29.40 / $43.06	Professional		$19.68	$29.40	$43.06