Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.38 / $71.39	Professional		$32.36	$41.38	$71.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.14 / $20.69 / $25.82	Professional	52	$16.14	$20.69	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $65.53 / $97.42	Professional		$35.44	$65.53	$97.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $73.51 / $87.95	Professional		$36.86	$73.51	$87.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $42.63 / $88.97	Facility		$28.69	$42.63	$88.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $58.18 / $75.90	Professional		$39.49	$58.18	$75.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $69.41 / $79.53	Facility		$45.55	$69.41	$79.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $46.23 / $90.47	Facility		$32.40	$46.23	$90.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $67.50 / $93.77	Professional		$42.78	$67.50	$93.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $62.65 / $97.19	Professional		$38.22	$62.65	$97.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $62.83 / $113.97	Professional		$41.04	$62.83	$113.97