Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $93.33	Professional		$19.05	$33.11	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $151.36	Professional		$74.13	$102.33	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $67.61	Facility		$34.67	$47.86	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $52.48	Professional		$36.31	$46.77	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $54.95	Facility		$47.86	$47.86	$54.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $74.13	Facility		$30.90	$48.98	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $79.43	Professional		$28.84	$46.77	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $61.66	Professional		$53.70	$53.70	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $41.69	Professional		$16.98	$25.12	$41.69