Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Facility		$31.55	$31.55	$31.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $15.58 / $55.46	Professional		$9.75	$15.58	$55.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $73.64 / $85.92	Professional		$33.07	$73.64	$85.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $42.90 / $64.50	Facility		$30.00	$42.90	$64.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $47.12 / $65.76	Professional		$33.08	$47.12	$65.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $33.00 / $48.24	Facility		$26.80	$33.00	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $42.90 / $64.50	Facility		$30.00	$42.90	$64.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $50.09 / $75.65	Professional		$26.94	$50.09	$75.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $144.78 / $188.13	Facility		$107.42	$144.78	$188.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Professional		$78.31	$78.31	$78.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $31.68 / $81.94	Professional		$14.44	$31.68	$81.94