Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $37.15 / $77.62	Professional		$10.96	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $38.02	Professional		$24.55	$30.20	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $24.55 / $120.23	Facility		$12.59	$24.55	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $41.69 / $77.62	Professional		$10.96	$41.69	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $28.18	Facility		$22.91	$27.54	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $85.11	Facility		$12.59	$20.89	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $79.43	Professional		$12.02	$12.02	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $38.02	Professional		$21.88	$28.84	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.30 / $39.81	Professional		$15.14	$26.30	$39.81