Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $53.36 / $71.14	Facility		$36.61	$53.36	$71.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $40.04 / $58.75	Professional		$25.09	$40.04	$58.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $83.62 / $143.41	Professional		$48.20	$83.62	$143.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $95.35 / $129.03	Professional		$65.09	$95.35	$129.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $49.77 / $85.45	Facility		$28.20	$49.77	$85.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $82.80 / $135.79	Professional		$58.36	$82.80	$135.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $90.14 / $110.55	Facility		$54.08	$90.14	$110.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $49.62 / $90.25	Facility		$28.52	$49.62	$90.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $63.93 / $114.42	Professional		$34.53	$63.93	$114.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $50.90 / $102.76	Professional		$33.61	$50.90	$102.76
United Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $94.50 / $138.18	Professional		$71.81	$94.50	$138.18