Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Facility		$53.70	$53.70	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $60.26	Professional		$19.95	$25.12	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $64.57	Professional		$18.20	$37.15	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $63.10	Professional		$33.88	$47.86	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $45.71	Facility		$20.89	$27.54	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $64.57	Professional		$23.99	$44.67	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $51.29	Facility		$33.11	$47.86	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.92 / $44.67	Facility		$21.38	$26.92	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $70.79	Professional		$22.39	$42.66	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $52.48	Professional		$23.99	$33.88	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $63.10	Professional		$20.89	$39.81	$63.10