Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $62.28 / $256.56	Facility		$41.53	$62.28	$256.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $34.63 / $110.79	Professional		$27.76	$34.63	$110.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $67.98 / $80.84	Professional		$58.36	$67.98	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $45.09 / $80.51	Facility		$30.45	$45.09	$80.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $61.60 / $97.61	Professional		$49.10	$61.60	$97.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $63.07 / $64.98	Facility		$40.44	$63.07	$64.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $48.11 / $81.52	Facility		$30.75	$48.11	$81.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $68.88 / $87.40	Professional		$45.60	$68.88	$87.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $71.98 / $90.01	Professional		$49.82	$71.98	$90.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.22 / $99.43	Professional		$43.65	$64.22	$99.43