Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.19 / $249.19 / $249.19	Facility		$249.19	$249.19	$249.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $31.66	Professional		$30.44	$30.44	$31.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $66.84 / $66.84	Facility		$66.84	$66.84	$66.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $97.29 / $116.60	Professional		$43.69	$97.29	$116.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $43.53 / $65.45	Facility		$30.44	$43.53	$65.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $17.32 / $50.56	Professional		$11.95	$17.32	$50.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $90.50 / $91.79	Facility		$75.34	$90.50	$91.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $43.53 / $66.84	Facility		$30.44	$43.53	$66.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $36.69 / $115.60	Professional		$32.82	$36.69	$115.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $151.41 / $482.74	Facility		$48.60	$151.41	$482.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $35.81 / $36.89	Professional		$34.74	$35.81	$36.89