Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $43.75 / $84.48	Facility		$36.20	$43.75	$84.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $151.13	Professional		$29.26	$29.26	$151.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $73.36 / $79.15	Professional		$30.17	$73.36	$79.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $35.03 / $92.96	Facility		$25.25	$35.03	$92.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $36.20 / $56.04	Professional		$30.17	$36.20	$56.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $37.83 / $66.59	Facility		$30.17	$37.83	$66.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $36.20 / $87.49	Facility		$25.25	$36.20	$87.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $36.01 / $45.61	Professional		$30.95	$36.01	$45.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $91.81 / $124.64	Facility		$58.83	$91.81	$124.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $35.51 / $74.67	Professional		$26.94	$35.51	$74.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.92 / $36.20	Professional		$12.67	$15.92	$36.20