Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $57.08 / $77.73	Facility		$39.75	$57.08	$77.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $56.06 / $96.00	Professional		$38.32	$56.06	$96.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $92.90 / $147.28	Professional		$61.76	$92.90	$147.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $63.80 / $115.30	Facility		$40.98	$63.80	$115.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $100.34 / $157.51	Professional		$66.89	$100.34	$157.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $117.92 / $125.96	Facility		$71.20	$117.92	$125.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $60.92 / $115.30	Facility		$40.90	$60.92	$115.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $76.73 / $133.90	Professional		$47.16	$76.73	$133.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $99.09 / $148.16	Professional		$70.40	$99.09	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $117.83 / $189.58	Professional		$87.69	$117.83	$189.58