Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Facility		$67.14	$67.14	$67.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $119.61 / $142.33	Professional		$39.70	$119.61	$142.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.94 / $238.94 / $238.94	Facility		$238.94	$238.94	$238.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $69.61 / $83.39	Professional		$31.26	$69.61	$83.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $140.80 / $257.16	Facility		$58.08	$140.80	$257.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $54.78 / $54.78	Professional		$54.78	$54.78	$54.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $64.73 / $65.66	Facility		$53.12	$64.73	$65.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $58.08 / $238.94	Facility		$27.82	$58.08	$238.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $47.99 / $131.35	Professional		$29.34	$47.99	$131.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Professional		$58.39	$58.39	$58.39
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $140.74 / $140.74	Professional		$132.53	$140.74	$140.74