Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $57.56 / $80.66	Professional		$45.32	$57.56	$80.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.66 / $28.78 / $40.33	Professional	52	$22.66	$28.78	$40.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $83.22 / $121.20	Professional		$42.00	$83.22	$121.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $74.31 / $91.44	Professional		$40.26	$74.31	$91.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $55.60 / $95.94	Facility		$32.40	$55.60	$95.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $67.36 / $102.93	Professional		$51.78	$67.36	$102.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $79.05 / $103.12	Facility		$58.44	$79.05	$103.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $65.26 / $77.61	Professional		$65.26	$65.26	$77.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $59.52 / $124.47	Facility		$34.70	$59.52	$124.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $94.36 / $128.18	Professional		$72.27	$94.36	$128.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $81.31 / $111.00	Professional		$50.58	$81.31	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $84.92 / $132.60	Professional		$56.62	$84.92	$132.60