Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $67.01 / $96.31	Facility		$33.86	$67.01	$96.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $67.01 / $96.31	Professional		$25.41	$67.01	$96.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $84.67 / $214.23	Professional		$41.70	$84.67	$214.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $117.62 / $209.30	Professional		$48.97	$117.62	$209.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $72.81 / $202.52	Facility		$33.86	$72.81	$202.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $91.29 / $216.00	Professional		$42.35	$91.29	$216.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $147.56 / $161.47	Facility		$50.47	$147.56	$161.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $83.09 / $202.52	Facility		$33.86	$83.09	$202.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $98.90 / $200.92	Professional		$51.35	$98.90	$200.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $209.93 / $234.87	Facility		$160.24	$209.93	$234.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $85.26 / $207.02	Professional		$50.65	$85.26	$207.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $147.56 / $234.00	Professional		$105.09	$147.56	$234.00