Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $68.37 / $70.76	Facility		$52.12	$68.37	$70.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $29.34 / $97.91	Professional		$21.21	$29.34	$97.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $42.84 / $64.81	Professional		$25.97	$42.84	$64.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $44.75 / $53.69	Professional		$38.09	$44.75	$53.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $35.72 / $53.55	Facility		$20.55	$35.72	$53.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $39.04 / $54.14	Professional		$28.07	$39.04	$54.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $41.15 / $44.20	Facility		$30.52	$41.15	$44.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $40.28 / $53.55	Facility		$20.55	$40.28	$53.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $43.46 / $56.61	Professional		$28.98	$43.46	$56.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $43.85 / $57.94	Professional		$25.21	$43.85	$57.94
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $44.11 / $65.13	Professional		$29.76	$44.11	$65.13