Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $62.58 / $109.19	Facility		$62.58	$62.58	$109.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.67 / $24.35	Professional		$19.50	$23.67	$24.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $62.83 / $72.95	Facility		$40.79	$62.83	$72.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $53.34 / $66.39	Professional		$26.36	$53.34	$66.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $26.36 / $53.34	Facility		$23.59	$26.36	$53.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $27.85 / $35.14	Professional		$25.10	$27.85	$35.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $27.61 / $43.93	Facility		$22.59	$27.61	$43.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $30.12 / $66.09	Facility		$24.35	$30.12	$66.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $30.12 / $37.90	Professional		$27.61	$30.12	$37.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $76.38 / $98.54	Facility		$48.95	$76.38	$98.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $49.68 / $78.87	Professional		$30.12	$49.68	$78.87
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $30.12	Professional		$10.54	$10.54	$30.12