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 $30.15 / $39.25 / $79.40	Professional		$30.15	$39.25	$79.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $39.00 / $88.19	Professional		$30.04	$39.00	$88.19
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 $33.47 / $51.01 / $77.48	Facility		$33.47	$51.01	$77.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $62.06 / $90.83	Professional		$37.68	$62.06	$90.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.01 / $68.47 / $71.69	Facility		$43.01	$68.47	$71.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $51.01 / $89.24	Facility		$33.47	$51.01	$89.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $50.78 / $89.84	Professional		$34.32	$50.78	$89.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $65.84 / $89.68	Professional		$42.68	$65.84	$89.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $62.07 / $99.73	Professional		$39.00	$62.07	$99.73