Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $48.59 / $51.01	Facility		$38.25	$48.59	$51.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $38.78 / $55.17	Professional		$29.71	$38.78	$55.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Facility		$38.69	$38.69	$38.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $87.49	Professional		$30.00	$39.00	$87.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $68.58 / $89.96	Professional		$49.83	$68.58	$89.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $51.01 / $75.97	Facility		$33.20	$51.01	$75.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $62.23 / $90.83	Professional		$37.68	$62.23	$90.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $68.47 / $71.69	Facility		$44.82	$68.47	$71.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $51.01 / $86.67	Facility		$33.27	$51.01	$86.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $49.35 / $87.87	Professional		$33.65	$49.35	$87.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $63.95 / $88.48	Professional		$41.45	$63.95	$88.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $63.14 / $102.95	Professional		$39.00	$63.14	$102.95