Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $162.18 / $162.18	Facility		$33.88	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $37.15	Professional		$18.20	$25.12	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.45 / $60.26	Facility		$1.51	$2.45	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $34.67 / $46.77	Professional		$16.60	$34.67	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $66.07	Professional		$42.66	$50.12	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $63.10	Facility		$20.42	$33.88	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $37.15	Professional		$18.20	$25.70	$37.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $63.10	Facility		$38.90	$46.77	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $56.23	Facility		$18.62	$33.88	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $39.81 / $79.43	Professional		$21.88	$39.81	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $85.11	Professional		$44.67	$64.57	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $33.88	Professional		$9.55	$14.13	$33.88