Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $58.88	Professional		$16.98	$24.55	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $151.36	Professional		$34.67	$45.71	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $58.88	Facility		$17.78	$22.91	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $38.90	Professional		$17.38	$22.91	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $25.70	Facility		$23.99	$23.99	$25.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $75.86	Facility		$16.22	$24.55	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.91 / $79.43	Professional		$10.00	$22.91	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $27.54	Professional		$25.70	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $17.38	Professional		$6.92	$10.23	$17.38