Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $72.37 / $112.43	Facility		$66.31	$72.37	$112.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $39.79 / $147.00	Professional		$29.52	$39.79	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $59.00 / $89.51	Professional		$36.99	$59.00	$89.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $62.24 / $74.67	Professional		$52.86	$62.24	$74.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $52.86 / $81.48	Facility		$27.81	$52.86	$81.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $55.18 / $85.47	Professional		$39.40	$55.18	$85.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $57.12 / $64.31	Facility		$46.51	$57.12	$64.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $66.61 / $80.59	Facility		$27.81	$66.61	$80.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $61.55 / $79.89	Professional		$41.76	$61.55	$79.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $61.55 / $80.76	Professional		$35.19	$61.55	$80.76
United Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $64.08 / $91.17	Professional		$44.79	$64.08	$91.17