Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $53.70	Professional		$23.99	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $25.70	Professional		$21.38	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $151.36	Professional		$85.11	$112.20	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $70.79	Facility		$42.66	$50.12	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $67.61	Professional		$45.71	$48.98	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $61.66	Facility		$48.98	$60.26	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $61.66	Professional		$53.70	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $85.11	Facility		$38.02	$56.23	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $52.48 / $79.43	Professional		$21.38	$52.48	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $43.65	Professional		$17.78	$26.30	$43.65