Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $130.87	Facility		$20.47	$20.47	$130.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $16.46 / $65.51	Professional		$6.66	$16.46	$65.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
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 $16.64 / $20.85 / $38.25	Facility		$16.64	$20.85	$38.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $21.57 / $23.84	Professional		$17.05	$21.57	$23.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $22.17 / $26.11	Facility		$18.01	$22.17	$26.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $22.70 / $24.97	Professional		$18.03	$22.70	$24.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $19.89 / $38.25	Facility		$13.20	$19.89	$38.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $13.20 / $19.88	Professional		$11.59	$13.20	$19.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $24.97 / $24.97	Professional		$23.72	$24.97	$24.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $9.63 / $18.84	Professional		$9.06	$9.63	$18.84