Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $38.21 / $76.51	Facility		$37.65	$38.21	$76.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.98 / $90.42	Professional		$14.40	$23.98	$90.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $49.54 / $92.92	Professional		$26.50	$49.54	$92.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $80.12 / $87.47	Professional		$65.48	$80.12	$87.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $42.36 / $79.80	Facility		$27.22	$42.36	$79.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $57.42 / $79.30	Professional		$39.32	$57.42	$79.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $62.31 / $68.34	Facility		$44.11	$62.31	$68.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $49.74 / $86.86	Facility		$28.00	$49.74	$86.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $61.74 / $90.26	Professional		$36.90	$61.74	$90.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $97.61 / $133.28	Facility		$60.75	$97.61	$133.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $59.36 / $92.76	Professional		$39.03	$59.36	$92.76
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $35.72 / $84.30	Professional		$32.15	$35.72	$84.30