Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $46.64	Facility		$42.40	$42.40	$46.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $30.74 / $46.64	Professional		$24.07	$30.74	$46.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Facility		$42.61	$42.61	$42.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $51.61	Professional		$30.95	$30.95	$51.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $65.86 / $82.39	Professional		$46.67	$65.86	$82.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $42.40 / $78.89	Facility		$27.32	$42.40	$78.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $58.87 / $83.26	Professional		$39.95	$58.87	$83.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $65.78 / $69.01	Facility		$43.24	$65.78	$69.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $42.40 / $79.68	Facility		$27.32	$42.40	$79.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $50.50 / $85.36	Professional		$31.56	$50.50	$85.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $55.77 / $87.14	Professional		$43.89	$55.77	$87.14
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $68.68 / $106.70	Professional		$53.04	$68.68	$106.70