Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $82.15 / $184.00	Facility		$39.00	$82.15	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $53.60 / $140.19	Professional		$41.34	$53.60	$140.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $100.20 / $100.20	Facility		$100.20	$100.20	$100.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $51.84 / $62.14	Professional		$23.28	$51.84	$62.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $58.88 / $102.43	Facility		$42.83	$58.88	$102.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $44.73 / $44.73	Professional		$32.65	$44.73	$44.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $48.23 / $48.91	Facility		$32.78	$48.23	$48.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $68.13 / $126.21	Facility		$42.83	$68.13	$126.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $50.10 / $61.20	Professional		$35.04	$50.10	$61.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $48.18	Professional		$48.18	$48.18	$48.18
United Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $53.53 / $53.68	Professional		$50.54	$53.53	$53.68