Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $51.03 / $111.38	Facility		$51.03	$51.03	$111.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $46.22 / $51.03	Professional		$46.22	$46.22	$51.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Facility		$102.68	$102.68	$102.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $17.04 / $20.42	Professional		$7.65	$17.04	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $66.04 / $99.37	Facility		$24.78	$66.04	$99.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13,910.16 / $18,772.80	Professional		$11.71	$13,910.16	$18,772.80
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 $46.22 / $66.09 / $138.84	Facility		$46.22	$66.09	$138.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $47.34 / $86.78	Professional		$12.94	$47.34	$86.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $78.14 / $78.14	Professional		$78.14	$78.14	$78.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $50.03	Professional		$46.41	$46.41	$50.03