Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $41.83 / $45.65	Facility		$41.83	$41.83	$45.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $24.38 / $47.60	Professional		$17.53	$24.38	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $37.26 / $60.74	Professional		$22.95	$37.26	$60.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $38.83 / $46.81	Professional		$33.33	$38.83	$46.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $29.86 / $68.62	Facility		$18.03	$29.86	$68.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.54 / $59.16	Professional		$28.46	$37.54	$59.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $36.03 / $60.30	Facility		$30.21	$36.03	$60.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $34.86 / $69.38	Facility		$18.03	$34.86	$69.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $41.04 / $57.60	Professional		$27.64	$41.04	$57.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,730.68 / $2,008.78	Facility		$1,318.75	$1,730.68	$2,008.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $41.58 / $53.41	Professional		$23.37	$41.58	$53.41
United Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $45.57 / $62.17	Professional		$28.60	$45.57	$62.17