Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $66.07	Facility		$53.70	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $66.07	Professional		$28.84	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $190.55	Professional		$125.89	$154.88	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $100.00	Facility		$48.98	$64.57	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $66.07	Professional		$38.02	$61.66	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $144.54	Facility		$67.61	$117.49	$144.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Facility		$46.77	$81.28	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $85.11	Professional		$43.65	$79.43	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $95.50	Professional		$91.20	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $56.23	Professional		$23.99	$36.31	$56.23