Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $82.79 / $82.79	Facility		$82.79	$82.79	$82.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $30.37 / $65.14	Professional		$27.60	$30.37	$65.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $59.47	Professional		$43.41	$43.41	$59.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $88.85 / $206.62	Professional		$66.64	$88.85	$206.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $77.86 / $90.59	Facility		$61.91	$77.86	$90.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $79.97 / $88.85	Professional		$66.69	$79.97	$88.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $86.77 / $97.74	Facility		$70.93	$86.77	$97.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $88.85 / $88.85	Professional		$70.93	$88.85	$88.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $77.50 / $89.24	Facility		$53.41	$77.50	$89.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $77.80 / $97.74	Professional		$43.41	$77.80	$97.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $147.74 / $311.70	Facility		$74.02	$147.74	$311.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $97.74 / $97.74	Professional		$76.41	$97.74	$97.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $39.89 / $76.11	Professional		$37.96	$39.89	$76.11