Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $97.72	Facility		$44.67	$58.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $91.20	Professional		$20.89	$36.31	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $93.33	Professional		$27.54	$50.12	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $95.50	Professional		$38.90	$60.26	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $72.44	Facility		$22.91	$41.69	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $91.20	Professional		$33.88	$57.54	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $67.61 / $77.62	Facility		$48.98	$67.61	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $72.44	Facility		$22.39	$39.81	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $95.50	Professional		$42.66	$64.57	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $162.18	Facility		$69.18	$87.10	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $93.33	Professional		$40.74	$63.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $89.13	Professional		$30.90	$53.70	$89.13