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 $12.02 / $15.14 / $30.20	Professional		$12.02	$15.14	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $151.36	Professional		$33.88	$44.67	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.39 / $52.48	Facility		$17.38	$22.39	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $25.12	Professional		$17.78	$19.50	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $24.55	Facility		$22.91	$22.91	$24.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $64.57	Facility		$15.14	$23.99	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $22.39 / $79.43	Professional		$9.77	$22.39	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $26.30	Professional		$25.12	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $16.98	Professional		$7.59	$10.00	$16.98