Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $42.10 / $55.72	Facility		$42.10	$42.10	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $43.65 / $55.72	Professional		$33.52	$43.65	$55.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Professional		$42.56	$42.56	$42.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $95.36 / $119.49	Professional		$65.20	$95.36	$119.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $55.72 / $119.52	Facility		$39.70	$55.72	$119.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $85.58 / $151.72	Professional		$51.81	$85.58	$151.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $87.08 / $95.81	Facility		$57.49	$87.08	$95.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $55.72 / $116.70	Facility		$38.96	$55.72	$116.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $59.84 / $108.80	Professional		$42.56	$59.84	$108.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $77.52 / $119.68	Professional		$71.14	$77.52	$119.68
United Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $94.09 / $140.91	Professional		$62.57	$94.09	$140.91