Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $21.88	Professional		$7.94	$12.02	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $24.55	Professional		$21.38	$21.38	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $61.66	Professional		$34.67	$46.77	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $33.11	Facility		$9.77	$20.89	$33.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $36.31 / $57.54	Professional		$12.02	$36.31	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $47.86	Facility		$15.85	$38.90	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.05 / $34.67	Facility		$9.33	$19.05	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $74.13	Professional		$11.75	$26.30	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $58.88	Professional		$23.44	$38.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $58.88	Professional		$14.79	$25.12	$58.88