Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $123.03	Professional		$33.88	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $151.36	Professional		$74.13	$97.72	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $120.23	Facility		$38.02	$47.86	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $75.86	Professional		$37.15	$47.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Facility		$50.12	$50.12	$53.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $154.88	Facility		$33.88	$52.48	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $48.98 / $79.43	Professional		$21.38	$48.98	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $37.15	Professional		$14.45	$21.88	$37.15