Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.84 / $37.15	Facility		$21.38	$28.84	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $64.57	Professional		$20.42	$28.18	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $27.54	Professional		$24.55	$24.55	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $69.18	Professional		$40.74	$53.70	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $64.57	Facility		$22.91	$33.88	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $69.18	Professional		$30.20	$51.29	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $56.23	Facility		$38.90	$54.95	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $64.57	Facility		$22.91	$33.88	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $75.86	Professional		$26.30	$56.23	$75.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $323.59	Facility		$223.87	$309.03	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $74.13	Professional		$40.74	$53.70	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $70.79	Professional		$28.84	$50.12	$70.79