Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $74.13	Facility		$46.77	$58.88	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $100.00	Professional		$20.89	$30.20	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $83.18	Professional		$29.51	$52.48	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $74.13	Professional		$40.74	$54.95	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $56.23	Facility		$22.39	$33.11	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $75.86	Professional		$29.51	$52.48	$75.86
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $58.88	Facility		$38.90	$57.54	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $54.95	Facility		$21.88	$32.36	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $79.43	Professional		$45.71	$58.88	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $72.44	Professional		$40.74	$53.70	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $72.44	Professional		$30.20	$51.29	$72.44