Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $53.70 / $158.49	Professional		$21.88	$53.70	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $162.18	Professional		$53.70	$138.04	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $52.48 / $77.62	Facility		$50.12	$52.48	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $77.62	Professional		$50.12	$56.23	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $72.44	Facility		$67.61	$69.18	$72.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $87.10	Facility		$40.74	$60.26	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $79.43	Professional		$38.02	$66.07	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Professional		$70.79	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $50.12	Facility		$24.55	$24.55	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $60.26	Professional		$28.84	$31.62	$60.26