Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $43.65 / $85.11	Professional		$19.05	$43.65	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $109.65	Professional		$60.26	$81.28	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $32.36	Facility		$15.49	$18.62	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.30 / $12.30	Facility		$7.41	$12.30	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $38.02	Facility		$15.85	$19.50	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $79.43	Professional		$25.12	$79.43	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $58.88	Professional		$25.70	$40.74	$58.88