Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $56.23	Professional		$21.88	$28.18	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.65 / $67.61	Professional		$22.91	$43.65	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $60.26	Professional		$30.90	$44.67	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $50.12	Facility		$22.39	$28.84	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $61.66	Professional		$26.92	$45.71	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $51.29	Facility		$33.11	$48.98	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $47.86	Facility		$22.39	$28.84	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $47.86 / $79.43	Professional		$24.55	$47.86	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $61.66	Professional		$34.67	$47.86	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $69.18	Professional		$30.90	$47.86	$69.18