Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $74.45	Facility		$74.45	$74.45	$74.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $24.81 / $28.97	Professional		$13.76	$24.81	$28.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $49.57 / $70.65	Professional		$23.93	$49.57	$70.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $28.97 / $69.66	Facility		$13.76	$28.97	$69.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $43.91 / $79.56	Professional		$36.15	$43.91	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $48.24 / $59.63	Facility		$35.69	$48.24	$59.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $55.37 / $69.84	Facility		$50.34	$55.37	$69.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $44.88 / $66.83	Professional		$22.32	$44.88	$66.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $44.23 / $75.53	Professional		$36.82	$44.23	$75.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $26.35 / $71.66	Professional		$15.81	$26.35	$71.66