Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $62.86	Facility		$56.56	$56.56	$62.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $36.76 / $78.58	Professional		$24.22	$36.76	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $57.80 / $91.31	Professional		$38.78	$57.80	$91.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $55.62 / $63.53	Professional		$46.52	$55.62	$63.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $52.52 / $95.87	Facility		$26.38	$52.52	$95.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $57.01 / $79.56	Professional		$40.03	$57.01	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $50.92 / $82.53	Facility		$41.20	$50.92	$82.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $61.13 / $95.87	Facility		$29.70	$61.13	$95.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $60.34 / $81.04	Professional		$47.12	$60.34	$81.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,357.38 / $1,801.21 / $2,184.89	Facility		$1,357.38	$1,801.21	$2,184.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $62.36 / $75.65	Professional		$47.49	$62.36	$75.65
United Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $63.72 / $83.75	Professional		$35.88	$63.72	$83.75