Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $32.52 / $113.12	Professional		$13.02	$32.52	$113.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $26.66 / $26.66	Facility		$26.66	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $31.36	Professional		$22.66	$22.66	$31.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $79.54 / $97.24	Professional		$26.62	$79.54	$97.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $38.64 / $44.82	Facility		$30.47	$38.64	$44.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $39.92 / $44.36	Professional		$32.97	$39.92	$44.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $38.76 / $44.36	Facility		$35.22	$38.76	$44.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $41.48 / $44.36	Professional		$37.71	$41.48	$44.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $37.82 / $44.36	Facility		$22.67	$37.82	$44.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $38.84 / $48.80	Professional		$22.66	$38.84	$48.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $48.80 / $48.80	Professional		$38.15	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $18.82 / $36.82	Professional		$17.54	$18.82	$36.82