Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $45.71 / $97.72	Facility		$25.70	$45.71	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $48.98	Professional		$18.20	$21.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $57.54	Professional		$22.39	$38.02	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $52.48	Professional		$30.90	$39.81	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $53.70	Facility		$21.38	$30.90	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $56.23	Professional		$29.51	$38.90	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $41.69 / $43.65	Facility		$31.62	$41.69	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $48.98	Facility		$21.38	$30.90	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $79.43	Professional		$31.62	$43.65	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $58.88	Professional		$31.62	$43.65	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $56.23	Professional		$25.70	$38.90	$56.23