Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $41.00 / $91.99	Facility		$30.75	$41.00	$91.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $40.11 / $67.03	Professional		$25.23	$40.11	$67.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $49.74 / $49.74	Facility		$49.74	$49.74	$49.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $90.26	Professional		$30.00	$48.00	$90.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $66.23 / $91.68	Professional		$43.97	$66.23	$91.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $53.36 / $91.99	Facility		$29.10	$53.36	$91.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $56.42 / $86.30	Professional		$42.84	$56.42	$86.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $64.31 / $75.70	Facility		$41.00	$64.31	$75.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $52.79 / $91.99	Facility		$29.10	$52.79	$91.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $53.00 / $84.81	Professional		$30.96	$53.00	$84.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $30.40	Facility		$30.40	$30.40	$30.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $45.90 / $80.38	Professional		$32.29	$45.90	$80.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $49.87 / $95.46	Professional		$34.52	$49.87	$95.46