Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $22.91	Professional		$10.00	$15.85	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $151.36	Professional		$38.90	$53.70	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $30.90	Facility		$16.22	$19.50	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $27.54	Professional		$18.62	$23.44	$27.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $28.18	Facility		$24.55	$25.12	$28.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $36.31	Facility		$13.80	$24.55	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $79.43	Professional		$15.14	$24.55	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $31.62	Professional		$28.18	$28.18	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $20.89	Professional		$8.71	$13.18	$20.89