Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $42.00 / $84.00	Facility		$36.00	$42.00	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $192.90 / $192.90	Professional		$39.90	$192.90	$192.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $75.08 / $87.17	Facility		$48.75	$75.08	$87.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $31.49 / $54.05	Professional		$8.69	$31.49	$54.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $73.36 / $79.15	Professional		$30.00	$73.36	$79.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $21.85 / $36.29	Facility		$11.79	$21.85	$36.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $30.00 / $36.00	Professional		$16.57	$30.00	$36.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $33.00 / $66.23	Facility		$30.00	$33.00	$66.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $36.00 / $75.08	Facility		$21.85	$36.00	$75.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $33.00 / $42.00	Professional		$15.58	$33.00	$42.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $88.56 / $117.78	Facility		$58.50	$88.56	$117.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $26.94 / $73.84	Professional		$12.33	$26.94	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $12.60 / $36.00	Professional		$6.89	$12.60	$36.00