Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $416.87 / $891.25	Facility		$29.51	$416.87	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $40.74 / $186.21	Professional		$10.96	$40.74	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $44.67 / $102.33	Professional		$15.85	$44.67	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $91.20	Professional		$19.05	$36.31	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $36.31 / $107.15	Facility		$11.75	$36.31	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $40.74 / $95.50	Professional		$16.98	$40.74	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $75.86	Facility		$47.86	$72.44	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $33.88 / $75.86	Facility		$12.02	$33.88	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $100.00	Professional		$21.88	$56.23	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $95.50	Professional		$21.88	$42.66	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $35.48 / $93.33	Professional		$14.79	$35.48	$93.33