Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $79.43	Professional		$10.96	$25.70	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $151.36	Professional		$26.30	$34.67	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $40.74	Facility		$13.49	$17.38	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $33.11	Professional		$13.80	$17.38	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.05	Facility		$17.78	$17.78	$19.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.20	Professional		$14.45	$14.45	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $48.98	Facility		$12.02	$18.62	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $17.38 / $79.43	Professional		$7.59	$17.38	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Professional		$19.50	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $13.18	Professional		$5.13	$7.76	$13.18