Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $56.24 / $61.63	Facility		$29.54	$56.24	$61.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $29.36 / $106.13	Professional		$23.00	$29.36	$106.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $50.23 / $76.14	Professional		$29.66	$50.23	$76.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $54.02 / $64.80	Professional		$45.62	$54.02	$64.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $45.47 / $62.90	Facility		$23.80	$45.47	$62.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $44.40 / $72.69	Professional		$33.68	$44.40	$72.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $48.47 / $50.92	Facility		$35.85	$48.47	$50.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $48.99 / $64.36	Facility		$23.80	$48.99	$64.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $51.56 / $67.39	Professional		$34.50	$51.56	$67.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $51.04 / $68.23	Professional		$29.93	$51.04	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $53.43 / $78.56	Professional		$35.52	$53.43	$78.56