Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $245.47 / $380.19	Facility		$40.74	$245.47	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $158.49	Professional		$10.96	$16.22	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.78	Professional		$14.13	$14.13	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $40.74	Professional		$26.92	$33.11	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $46.77	Facility		$13.80	$20.42	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $40.74	Professional		$19.05	$29.51	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $31.62	Facility		$23.44	$29.51	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $36.31	Facility		$14.13	$20.89	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $47.86	Professional		$14.79	$31.62	$47.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $64.57	Facility		$26.92	$34.67	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $41.69	Professional		$23.44	$30.20	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $39.81	Professional		$15.85	$26.92	$39.81