Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $93.33 / $223.87	Facility		$25.70	$93.33	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $45.71	Professional		$12.02	$12.88	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $165.96	Professional		$131.83	$154.88	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $74.13 / $199.53	Facility		$13.18	$74.13	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $41.69	Professional		$12.02	$12.88	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $83.18	Facility		$14.79	$14.79	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $43.65	Facility		$12.88	$18.62	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $79.43	Professional		$13.18	$17.78	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.49	Professional		$12.88	$12.88	$15.49