Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $50.12	Professional		$30.20	$40.74	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $199.53	Professional		$67.61	$199.53	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $117.49	Professional		$85.11	$93.33	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $48.98 / $83.18	Facility		$38.02	$48.98	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $50.12	Professional		$32.36	$39.81	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $87.10	Facility		$58.88	$85.11	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Facility		$34.67	$51.29	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $199.53	Professional		$67.61	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $109.65	Professional		$66.07	$87.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $112.20	Professional		$42.66	$52.48	$112.20