Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $14.69 / $14.69	Facility		$14.69	$14.69	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.95 / $14.98	Professional		$8.13	$11.95	$14.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $34.38 / $104.57	Professional		$11.64	$34.38	$104.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $31.03 / $35.13	Professional		$26.59	$31.03	$35.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $12.15 / $21.99	Facility		$9.98	$12.15	$21.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $19.84 / $30.00	Professional		$13.95	$19.84	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $27.41 / $27.47	Facility		$16.48	$27.41	$27.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $12.15 / $22.60	Facility		$9.98	$12.15	$22.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $33.03 / $101.63	Professional		$13.47	$33.03	$101.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $33.75 / $52.69	Facility		$21.43	$33.75	$52.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.86 / $35.61	Professional		$15.07	$15.86	$35.61