Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Facility		$41.69	$41.69	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $41.69	Professional		$25.12	$30.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $53.70	Professional		$30.90	$30.90	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $83.18	Professional		$42.66	$61.66	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $60.26	Facility		$26.92	$37.15	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $83.18	Professional		$30.90	$58.88	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $67.61 / $69.18	Facility		$48.98	$67.61	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $63.10	Facility		$25.70	$36.31	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $85.11	Professional		$33.88	$53.70	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $85.11	Professional		$47.86	$58.88	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $93.33	Professional		$40.74	$64.57	$93.33