Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $52.94 / $52.94	Facility		$20.71	$52.94	$52.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $16.64 / $66.28	Professional		$6.74	$16.64	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $45.75 / $53.72	Professional		$36.78	$45.75	$53.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $21.09 / $38.25	Facility		$16.84	$21.09	$38.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $21.83 / $24.13	Professional		$17.26	$21.83	$24.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $22.44 / $26.43	Facility		$18.23	$22.44	$26.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.98 / $25.28	Professional		$18.23	$22.98	$25.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $21.87 / $38.25	Facility		$16.84	$21.87	$38.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $20.12 / $24.57	Professional		$11.73	$20.12	$24.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $25.28 / $25.28	Professional		$24.02	$25.28	$25.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.74 / $18.59	Professional		$9.00	$9.74	$18.59