Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $83.76 / $87.51	Facility		$53.00	$83.76	$87.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $38.11 / $109.72	Professional		$23.81	$38.11	$109.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $52.27 / $80.25	Professional		$29.96	$52.27	$80.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $53.86 / $64.62	Professional		$45.91	$53.86	$64.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $35.00 / $66.30	Facility		$23.95	$35.00	$66.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $45.00 / $77.25	Professional		$33.47	$45.00	$77.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $49.60 / $50.25	Facility		$32.97	$49.60	$50.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $38.50 / $65.52	Facility		$24.69	$38.50	$65.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $53.51 / $69.92	Professional		$35.72	$53.51	$69.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $52.49 / $69.14	Professional		$30.25	$52.49	$69.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $55.30 / $80.84	Professional		$37.92	$55.30	$80.84