Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $43.38 / $94.18	Facility		$37.40	$43.38	$94.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $26.81 / $39.79	Professional		$21.62	$26.81	$39.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $78.77 / $86.94	Facility		$48.63	$78.77	$86.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $42.85 / $82.01	Professional		$17.23	$42.85	$82.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $113.54 / $120.51	Professional		$29.92	$113.54	$120.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $31.92 / $74.70	Facility		$21.79	$31.92	$74.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $31.75 / $47.25	Professional		$29.92	$31.75	$47.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $33.79 / $62.83	Facility		$29.92	$33.79	$62.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $32.90	Professional		$29.92	$29.92	$32.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $36.20 / $74.70	Facility		$21.79	$36.20	$74.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $32.90 / $42.70	Professional		$28.98	$32.90	$42.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $91.05 / $123.61	Facility		$58.34	$91.05	$123.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $38.90 / $116.51	Professional		$22.94	$38.90	$116.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.81 / $35.90	Professional		$12.57	$12.81	$35.90