Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $59.06 / $65.20	Facility		$42.87	$59.06	$65.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $47.90 / $59.06	Professional		$38.15	$47.90	$59.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $106.46 / $169.30	Professional		$66.77	$106.46	$169.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $59.06 / $119.52	Facility		$43.76	$59.06	$119.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $115.29 / $188.65	Professional		$74.73	$115.29	$188.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $118.72 / $145.38	Facility		$70.84	$118.72	$145.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $59.06 / $119.52	Facility		$41.67	$59.06	$119.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $74.36 / $126.24	Professional		$47.19	$74.36	$126.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $80.94 / $169.37	Professional		$70.28	$80.94	$169.37
United Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $95.81 / $151.07	Professional		$69.87	$95.81	$151.07