Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $82.96 / $154.00	Facility		$44.47	$82.96	$154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $37.36 / $64.44	Professional		$28.01	$37.36	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $47.39 / $90.30	Facility		$35.25	$47.39	$90.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $79.54 / $92.15	Professional		$35.72	$79.54	$92.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $52.88 / $80.34	Facility		$37.36	$52.88	$80.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $37.36 / $46.71	Professional		$22.98	$37.36	$46.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $37.36 / $75.47	Facility		$27.82	$37.36	$75.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $47.39 / $90.30	Facility		$30.79	$47.39	$90.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $40.54 / $47.32	Professional		$30.79	$40.54	$47.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $45.36	Professional		$45.36	$45.36	$45.36
United Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $49.16 / $50.70	Professional		$47.74	$49.16	$50.70