Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $53.76 / $53.76	Facility		$53.76	$53.76	$53.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $59.16	Professional		$51.00	$51.00	$59.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $74.15 / $99.58	Facility		$48.12	$74.15	$99.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $60.14	Professional		$51.00	$51.00	$60.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $130.93 / $150.06	Professional		$105.29	$130.93	$150.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $53.55 / $96.90	Facility		$22.77	$53.55	$96.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $54.06 / $63.75	Professional		$51.00	$54.06	$63.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $52.93 / $106.08	Facility		$49.53	$52.93	$106.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $56.10 / $98.70	Facility		$27.26	$56.10	$98.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $61.69 / $66.81	Professional		$51.00	$61.69	$66.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $51.00 / $51.00	Professional		$48.45	$51.00	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $58.65	Professional		$51.00	$51.00	$58.65