Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $79.14 / $99.81	Facility		$54.89	$79.14	$99.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $46.02 / $64.93	Professional		$36.21	$46.02	$64.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.14 / $45.14 / $45.14	Professional	25	$45.14	$45.14	$45.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $117.58 / $144.43	Professional		$97.67	$117.58	$144.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $84.24 / $95.13	Professional		$37.83	$84.24	$95.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $92.85 / $139.60	Facility		$64.93	$92.85	$139.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $76.88 / $126.25	Professional		$63.51	$76.88	$126.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $78.34 / $84.42	Facility		$60.08	$78.34	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $92.85 / $115.81	Facility		$74.52	$92.85	$115.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $83.75 / $117.43	Professional		$54.56	$83.75	$117.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $65.02 / $102.96	Professional		$65.02	$65.02	$102.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $80.59 / $110.36	Professional		$52.33	$80.59	$110.36