Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $60.00 / $189.56	Facility		$15.68	$60.00	$189.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $148.80	Professional		$36.85	$36.85	$148.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Facility		$75.48	$75.48	$75.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $113.63 / $136.18	Professional		$51.03	$113.63	$136.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $48.84 / $79.23	Facility		$25.92	$48.84	$79.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $85.91 / $85.91	Professional		$75.64	$85.91	$85.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $61.25 / $153.00	Facility		$36.85	$61.25	$153.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $76.00 / $128.52	Professional		$37.74	$76.00	$128.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00