Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $71.81 / $105.49	Facility		$45.49	$71.81	$105.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $41.03 / $77.79	Professional		$26.06	$41.03	$77.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $79.39 / $118.53	Professional		$42.85	$79.39	$118.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $73.19 / $110.89	Professional		$48.09	$73.19	$110.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $44.13 / $87.15	Facility		$29.59	$44.13	$87.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $77.04 / $124.01	Professional		$50.52	$77.04	$124.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $78.05 / $96.48	Facility		$48.78	$78.05	$96.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $44.13 / $87.15	Facility		$29.59	$44.13	$87.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $65.80 / $106.89	Professional		$37.79	$65.80	$106.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $71.81 / $112.90	Professional		$51.74	$71.81	$112.90
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $73.70 / $145.03	Professional		$54.20	$73.70	$145.03