Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.03 / $86.73	Facility		$43.65	$66.03	$86.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $35.89 / $78.59	Professional		$28.47	$35.89	$78.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $75.79 / $99.37	Professional		$39.49	$75.79	$99.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $67.12 / $82.23	Professional		$47.95	$67.12	$82.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.43 / $43.65 / $87.15	Facility		$31.43	$43.65	$87.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $61.48 / $105.72	Professional		$37.68	$61.48	$105.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $68.45 / $69.68	Facility		$53.04	$68.45	$69.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $43.65 / $87.15	Facility		$30.48	$43.65	$87.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $65.52 / $89.24	Professional		$34.61	$65.52	$89.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $60.84 / $91.52	Professional		$51.67	$60.84	$91.52
United Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $71.01 / $107.74	Professional		$50.87	$71.01	$107.74