Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $49.88	Facility		$36.94	$36.94	$49.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $41.64 / $149.38	Professional		$31.87	$41.64	$149.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $46.96 / $46.96	Facility		$46.96	$46.96	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $85.44 / $95.99	Professional		$63.47	$85.44	$95.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $70.45 / $104.59	Facility		$34.43	$70.45	$104.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $69.06 / $129.43	Professional		$57.12	$69.06	$129.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $73.03 / $82.41	Facility		$52.81	$73.03	$82.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $75.14 / $105.55	Facility		$38.36	$75.14	$105.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $81.65 / $105.55	Professional		$47.64	$81.65	$105.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $100.83 / $129.03	Professional		$66.59	$100.83	$129.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $72.59 / $122.35	Professional		$52.80	$72.59	$122.35