Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $97.72	Professional		$19.05	$28.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $151.36	Professional		$60.26	$81.28	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $87.10	Facility		$31.62	$39.81	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $46.77	Professional		$32.36	$35.48	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $44.67	Facility		$41.69	$41.69	$44.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $95.50	Facility		$25.70	$43.65	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $79.43	Professional		$17.78	$40.74	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $47.86	Professional		$45.71	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $30.90	Professional		$13.80	$18.20	$30.90