Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $103.74 / $381.91	Facility		$26.48	$103.74	$381.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $18.73 / $82.01	Professional		$8.61	$18.73	$82.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $58.37 / $68.54	Professional		$45.96	$58.37	$68.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $26.97 / $49.30	Facility		$21.53	$26.97	$49.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $27.91 / $30.85	Professional		$22.07	$27.91	$30.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $28.69 / $33.79	Facility		$23.31	$28.69	$33.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $29.38 / $29.38	Professional		$23.31	$29.38	$29.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $27.96 / $49.30	Facility		$21.53	$27.96	$49.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.72 / $31.42	Professional		$15.00	$25.72	$31.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $32.32 / $32.32	Professional		$30.70	$32.32	$32.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $12.46 / $23.77	Professional		$11.26	$12.46	$23.77