Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $48.98	Professional		$15.85	$32.36	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $104.71 / $123.03	Professional		$37.15	$104.71	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.02 / $57.54	Facility		$35.48	$38.02	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $54.95	Professional		$36.31	$38.90	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $46.77 / $56.23	Facility		$38.02	$46.77	$56.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $57.54	Professional		$43.65	$51.29	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $43.65 / $69.18	Facility		$32.36	$43.65	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $79.43	Professional		$23.44	$45.71	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $54.95	Professional		$48.98	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Facility		$18.62	$18.62	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $45.71	Professional		$21.88	$23.99	$45.71