Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $64.57	Professional		$20.89	$30.90	$64.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	52	$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $61.66	Professional		$26.92	$40.74	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $177.83	Professional		$51.29	$79.43	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $52.48	Facility		$26.92	$33.88	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $95.50	Professional		$35.48	$47.86	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $79.43	Facility		$56.23	$77.62	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $48.98	Facility		$26.92	$34.67	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $70.79	Professional		$30.20	$48.98	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $87.10	Professional		$32.36	$38.02	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $102.33	Professional		$32.36	$57.54	$102.33