Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $80.06 / $80.84	Facility		$59.47	$80.06	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $29.95 / $113.00	Professional		$24.44	$29.95	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $49.00 / $74.08	Professional		$29.26	$49.00	$74.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $50.96 / $61.14	Professional		$43.43	$50.96	$61.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $40.63 / $62.05	Facility		$23.48	$40.63	$62.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $44.08 / $62.02	Professional		$32.85	$44.08	$62.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $46.93 / $49.68	Facility		$34.88	$46.93	$49.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $44.71 / $61.32	Facility		$23.48	$44.71	$61.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $49.39 / $64.69	Professional		$33.11	$49.39	$64.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $50.21 / $66.22	Professional		$28.87	$50.21	$66.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.25 / $73.72	Professional		$34.54	$51.25	$73.72