Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $102.02	Facility		$69.44	$69.44	$102.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $40.44 / $159.13	Professional		$17.44	$40.44	$159.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $45.89	Professional		$24.24	$24.24	$45.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $107.24 / $131.08	Professional		$38.60	$107.24	$131.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $48.35 / $57.17	Facility		$38.44	$48.35	$57.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $49.63 / $55.14	Professional		$41.01	$49.63	$55.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $55.14 / $60.65	Facility		$43.78	$55.14	$60.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $55.14 / $57.26	Professional		$48.20	$55.14	$57.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $48.29 / $55.40	Facility		$33.97	$48.29	$55.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $48.29 / $62.20	Professional		$24.24	$48.29	$62.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $60.65 / $60.65	Professional		$47.42	$60.65	$60.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $25.19 / $48.29	Professional		$23.72	$25.19	$48.29