Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $42.09 / $49.62	Facility		$42.09	$42.09	$49.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.13 / $37.60	Professional		$18.39	$21.13	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $38.81 / $55.83	Professional		$20.76	$38.81	$55.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $44.03 / $55.82	Professional		$38.64	$44.03	$55.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $25.80 / $51.85	Facility		$18.39	$25.80	$51.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $38.43 / $58.95	Professional		$27.62	$38.43	$58.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $39.84 / $40.20	Facility		$26.40	$39.84	$40.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $27.87 / $51.85	Facility		$18.98	$27.87	$51.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $40.77 / $52.44	Professional		$27.16	$40.77	$52.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $432.68 / $523.54	Facility		$329.69	$432.68	$523.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $40.57 / $54.01	Professional		$23.18	$40.57	$54.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $38.08 / $57.79	Professional		$25.76	$38.08	$57.79