Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $60.26 / $117.49	Professional		$12.02	$60.26	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $102.33	Professional		$58.88	$79.43	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $36.31	Facility		$12.30	$14.45	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $28.18	Facility		$16.98	$28.18	$28.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $39.81	Facility		$13.18	$14.79	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $79.43 / $91.20	Professional		$28.18	$79.43	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $120.23	Professional		$51.29	$83.18	$120.23