Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $67.09 / $72.52	Facility		$49.61	$67.09	$72.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $51.66 / $67.09	Professional		$41.91	$51.66	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.02 / $72.02	Professional		$72.02	$72.02	$72.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $118.86 / $189.23	Professional		$77.83	$118.86	$189.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $67.09 / $136.12	Facility		$47.21	$67.09	$136.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $129.16 / $211.36	Professional		$86.11	$129.16	$211.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $132.00 / $160.80	Facility		$79.20	$132.00	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $67.09 / $136.12	Facility		$46.88	$67.09	$136.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $81.48 / $139.01	Professional		$52.81	$81.48	$139.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $92.34 / $187.32	Professional		$81.09	$92.34	$187.32
United Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $97.15 / $172.36	Professional		$72.50	$97.15	$172.36