Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $51.95 / $72.95	Facility		$39.89	$51.95	$72.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $26.96 / $63.16	Professional		$23.21	$26.96	$63.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $94.80 / $97.21	Professional	25	$26.97	$94.80	$97.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $51.26 / $75.11	Professional		$30.23	$51.26	$75.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $56.94 / $68.88	Professional		$46.79	$56.94	$68.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $44.88 / $66.95	Facility		$25.95	$44.88	$66.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $47.56 / $75.23	Professional		$39.50	$47.56	$75.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $51.59 / $54.94	Facility		$35.10	$51.59	$54.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $47.61 / $70.36	Facility		$26.62	$47.61	$70.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $57.05 / $73.04	Professional		$44.47	$57.05	$73.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $107.54 / $112.87	Facility		$77.00	$107.54	$112.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $58.02 / $77.63	Professional		$41.13	$58.02	$77.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $55.75 / $84.75	Professional		$36.53	$55.75	$84.75