Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $51.60 / $141.02	Facility		$40.51	$51.60	$141.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $49.77 / $63.04	Professional		$46.91	$49.77	$63.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $54.71 / $84.64	Facility		$46.49	$54.71	$84.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $53.46	Professional		$49.28	$49.28	$53.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $101.52 / $119.29	Professional		$46.25	$101.52	$119.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $64.86 / $105.95	Facility		$9.47	$64.86	$105.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $52.23 / $61.60	Professional		$40.97	$52.23	$61.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $56.72 / $102.50	Facility		$46.91	$56.72	$102.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $54.71 / $84.64	Facility		$40.84	$54.71	$84.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $48.31 / $53.46	Professional		$9.21	$48.31	$53.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28