Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $77.23 / $104.94	Facility		$42.44	$77.23	$104.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $43.19 / $77.23	Professional		$31.02	$43.19	$77.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $86.03 / $127.97	Professional		$53.62	$86.03	$127.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $79.40 / $122.33	Professional		$50.76	$79.40	$122.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $49.63 / $91.25	Facility		$33.63	$49.63	$91.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $83.26 / $136.24	Professional		$55.51	$83.26	$136.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $78.09 / $95.14	Facility		$50.65	$78.09	$95.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $48.89 / $94.86	Facility		$33.63	$48.89	$94.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $66.50 / $112.15	Professional		$37.08	$66.50	$112.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $76.26 / $113.27	Professional		$52.84	$76.26	$113.27
United Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $93.81 / $145.03	Professional		$68.98	$93.81	$145.03