Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $55.01 / $63.11	Facility		$55.01	$55.01	$63.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $27.80 / $65.08	Professional		$22.99	$27.80	$65.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $49.24 / $70.37	Professional		$27.40	$49.24	$70.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $54.56 / $69.16	Professional		$48.33	$54.56	$69.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $36.00 / $62.05	Facility		$23.08	$36.00	$62.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $43.02 / $63.70	Professional		$29.00	$43.02	$63.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $47.57 / $50.92	Facility		$33.29	$47.57	$50.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $38.64 / $63.50	Facility		$23.56	$38.64	$63.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $51.63 / $66.78	Professional		$34.43	$51.63	$66.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $520.64 / $618.64	Facility		$389.95	$520.64	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $52.01 / $69.48	Professional		$32.29	$52.01	$69.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $48.41 / $73.38	Professional		$33.00	$48.41	$73.38