Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $72.44	Facility		$47.86	$67.61	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $97.72	Professional		$19.95	$30.20	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $61.66	Professional		$23.44	$39.81	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $53.70	Professional		$35.48	$44.67	$53.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $60.26	Facility		$20.89	$36.31	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $53.70	Professional		$23.44	$38.02	$53.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $44.67	Facility		$33.11	$40.74	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $53.70	Facility		$20.42	$33.88	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $79.43	Professional		$30.20	$45.71	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $54.95	Professional		$26.30	$42.66	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $60.26	Professional		$26.92	$43.65	$60.26