Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $12.02	Facility		$8.91	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $93.33	Professional		$8.91	$8.91	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.23 / $26.30	Facility		$9.55	$10.23	$26.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $151.36	Facility		$60.26	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.47 / $25.70	Facility		$9.55	$10.47	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $79.43	Professional		$20.89	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $302.00	Facility		$141.25	$208.93	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $346.74	Facility		$213.80	$263.03	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $79.43	Professional		$31.62	$44.67	$79.43