Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $61.80 / $72.20	Facility		$52.00	$61.80	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $49.44 / $103.62	Professional		$38.42	$49.44	$103.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $87.02 / $87.02	Facility		$87.02	$87.02	$87.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $61.08 / $73.18	Professional		$27.43	$61.08	$73.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $51.11 / $87.55	Facility		$40.72	$51.11	$87.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $39.13 / $39.13	Professional		$32.81	$39.13	$39.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $56.81 / $57.62	Facility		$47.30	$56.81	$57.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $58.23 / $112.51	Facility		$40.52	$58.23	$112.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $43.83 / $72.25	Professional		$40.61	$43.83	$72.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.70 / $47.47	Professional		$42.66	$44.70	$47.47