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 $7.24 / $12.02 / $48.98	Professional		$7.24	$12.02	$48.98
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 $25.12 / $33.11 / $151.36	Professional		$25.12	$33.11	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $31.62	Facility		$13.18	$15.85	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $21.88	Professional		$13.49	$15.14	$21.88
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 $12.88 / $14.13 / $14.45	Professional		$12.88	$14.13	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.20 / $37.15	Facility		$10.96	$18.20	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.98 / $79.43	Professional		$7.59	$16.98	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $20.42	Professional		$19.05	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.59 / $12.88	Professional		$5.13	$7.59	$12.88