Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $49.79 / $1,049.23	Facility		$6.67	$49.79	$1,049.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $6.89 / $78.95	Professional		$4.65	$6.89	$78.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $86.70 / $143.03	Professional		$10.31	$86.70	$143.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $32.43 / $143.59	Facility		$6.89	$32.43	$143.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $90.73 / $148.47	Professional		$9.60	$90.73	$148.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $107.20 / $115.24	Facility		$10.72	$107.20	$115.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $56.63 / $143.59	Facility		$6.89	$56.63	$143.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $63.88 / $145.51	Professional		$10.43	$63.88	$145.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $18.44 / $152.31	Professional		$9.11	$18.44	$152.31
United Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $115.19 / $173.01	Professional		$81.59	$115.19	$173.01