Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Facility		$19.46	$19.46	$19.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.21 / $69.33	Professional		$17.38	$20.21	$69.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $46.42 / $55.19	Professional		$35.35	$46.42	$55.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $32.22 / $48.13	Facility		$19.23	$32.22	$48.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $35.22 / $52.09	Professional		$28.82	$35.22	$52.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $35.51 / $38.86	Facility		$26.46	$35.51	$38.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $36.32 / $48.13	Facility		$19.37	$36.32	$48.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $35.75 / $46.79	Professional		$19.64	$35.75	$46.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $116.04 / $151.21	Facility		$92.64	$116.04	$151.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $35.93 / $49.27	Professional		$20.63	$35.93	$49.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $37.79 / $54.28	Professional		$26.40	$37.79	$54.28