Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $56.23 / $60.26	Facility		$30.90	$56.23	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $54.95	Professional		$21.88	$25.70	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $63.10	Professional		$26.30	$44.67	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $63.10	Professional		$40.74	$52.48	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $54.95	Facility		$24.55	$33.11	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $61.66	Professional		$30.90	$45.71	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $47.86	Facility		$35.48	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $53.70	Facility		$23.99	$33.88	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $79.43	Professional		$35.48	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $97.72	Facility		$36.31	$64.57	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $64.57	Professional		$37.15	$48.98	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $39.81	Facility		$26.92	$26.92	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $69.18	Professional		$30.20	$47.86	$69.18