Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $49.15 / $87.70	Facility		$26.90	$49.15	$87.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.55 / $56.22	Professional		$18.62	$20.55	$56.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $40.47 / $59.94	Professional		$26.37	$40.47	$59.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $41.65 / $50.11	Professional		$35.18	$41.65	$50.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $31.01 / $55.19	Facility		$23.51	$31.01	$55.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $37.20 / $62.58	Professional		$31.48	$37.20	$62.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $40.40 / $43.55	Facility		$29.15	$40.40	$43.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $31.69 / $55.78	Facility		$23.51	$31.69	$55.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $42.09 / $58.02	Professional		$35.00	$42.09	$58.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $46.27 / $67.98	Professional		$37.35	$46.27	$67.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $41.60 / $66.16	Professional		$28.88	$41.60	$66.16