Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $245.47	Facility		$100.00	$102.33	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $102.33	Professional		$97.72	$100.00	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $34.67 / $37.15	Professional		$14.45	$34.67	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $144.54 / $218.78	Facility		$30.20	$144.54	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $33.88 / $102.33	Professional		$9.12	$33.88	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $28.84	Facility		$23.44	$28.18	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $295.12	Facility		$100.00	$134.90	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $29.51 / $79.43	Professional		$12.30	$29.51	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $426.58	Facility		$147.91	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33