Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $57.54	Professional		$19.05	$38.90	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $123.03 / $144.54	Professional		$51.29	$123.03	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $72.44	Facility		$47.86	$51.29	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $72.44	Professional		$48.98	$52.48	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $64.57 / $66.07	Facility		$60.26	$64.57	$66.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $66.07	Professional		$57.54	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $83.18	Facility		$38.02	$58.88	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $79.43	Professional		$33.88	$63.10	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $74.13	Professional		$67.61	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Facility		$21.88	$21.88	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $53.70	Professional		$25.70	$28.18	$53.70