Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $117.49	Professional		$38.02	$66.07	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $125.89	Professional		$81.28	$100.00	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $181.97	Facility		$41.69	$77.62	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $117.49	Professional		$38.90	$66.07	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $93.33	Facility		$75.86	$91.20	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $128.82	Facility		$42.66	$70.79	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $91.20	Professional		$39.81	$39.81	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $125.89	Professional		$72.44	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $138.04	Professional		$52.48	$89.13	$138.04