Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $257.70 / $773.03	Facility		$71.34	$257.70	$773.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.85 / $20.42	Professional		$10.19	$13.85	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $35.71 / $37.83	Professional		$24.23	$35.71	$37.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $19.73 / $22.88	Professional		$8.86	$19.73	$22.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $122.40 / $157.50	Facility		$19.02	$122.40	$157.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $18.35 / $19.43	Facility		$15.39	$18.35	$19.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $19.02 / $34.86	Facility		$13.30	$19.02	$34.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $24.23 / $35.71	Professional		$13.78	$24.23	$35.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $25.52	Professional		$25.52	$25.52	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.48 / $32.20	Professional		$15.41	$18.48	$32.20