Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $71.68 / $79.13	Facility		$70.93	$71.68	$79.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $37.81 / $80.48	Professional		$29.12	$37.81	$80.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $60.55 / $89.17	Professional		$35.15	$60.55	$89.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $69.39 / $80.06	Professional		$60.32	$69.39	$80.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $46.50 / $81.59	Facility		$32.26	$46.50	$81.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $55.31 / $76.06	Professional		$38.72	$55.31	$76.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $62.45 / $65.28	Facility		$41.76	$62.45	$65.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $54.39 / $81.59	Facility		$33.17	$54.39	$81.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $61.10 / $85.81	Professional		$40.89	$61.10	$85.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $87.58 / $124.14	Facility		$58.92	$87.58	$124.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $59.04 / $86.48	Professional		$36.71	$59.04	$86.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $63.37 / $92.46	Professional		$44.17	$63.37	$92.46