Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $107.15	Facility		$66.07	$66.07	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $102.33	Professional		$63.10	$81.28	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $114.82	Professional		$50.12	$54.95	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $162.18	Facility		$53.70	$100.00	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $107.15	Professional		$63.10	$81.28	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $158.49	Facility		$50.12	$91.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $128.82	Professional		$57.54	$89.13	$128.82