Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Facility		$33.47	$33.47	$33.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.11 / $109.51	Professional		$19.03	$19.11	$109.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $30.30 / $31.34	Professional		$15.97	$30.30	$31.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $34.63 / $107.35	Professional		$26.94	$34.63	$107.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $33.56 / $38.47	Facility		$19.03	$33.56	$38.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $28.88 / $38.47	Professional		$3.65	$28.88	$38.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $38.47 / $42.33	Facility		$34.70	$38.47	$42.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $42.33	Professional		$38.47	$38.47	$42.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $31.96 / $44.63	Facility		$12.43	$31.96	$44.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $36.40 / $37.50	Professional		$30.30	$36.40	$37.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $53.66 / $63.12	Facility		$53.66	$53.66	$63.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.94 / $36.40	Professional		$18.39	$18.94	$36.40