Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $100.00	Facility		$47.86	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $61.66	Professional		$32.36	$42.66	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $36.31 / $44.67	Professional	25	$36.31	$36.31	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $144.54	Professional		$97.72	$117.49	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $87.10 / $102.33	Professional		$38.02	$87.10	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $138.04	Facility		$54.95	$93.33	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $107.15	Professional		$38.90	$70.79	$107.15
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $85.11	Facility		$63.10	$77.62	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $107.15	Facility		$64.57	$91.20	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $104.71	Professional		$58.88	$79.43	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $109.65	Professional		$42.66	$79.43	$109.65