Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $33.99 / $44.17	Facility		$25.08	$33.99	$44.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $25.64 / $35.14	Professional		$21.10	$25.64	$35.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $65.69 / $115.92	Professional		$39.38	$65.69	$115.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $33.99 / $71.40	Facility		$24.41	$33.99	$71.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $71.81 / $129.25	Professional		$44.30	$71.81	$129.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $81.34 / $99.16	Facility		$38.93	$81.34	$99.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $33.99 / $71.22	Facility		$23.95	$33.99	$71.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $46.80 / $71.08	Professional		$27.38	$46.80	$71.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $47.31 / $103.92	Professional		$41.29	$47.31	$103.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $51.11 / $88.31	Professional		$36.51	$51.11	$88.31