Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Facility		$57.57	$57.57	$57.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.27 / $187.55	Professional		$33.20	$33.27	$187.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Facility		$43.15	$43.15	$43.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $50.66	Professional		$36.68	$43.15	$50.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $51.88 / $184.55	Professional		$45.40	$51.88	$184.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $46.16 / $74.28	Facility		$33.20	$46.16	$74.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $62.98 / $68.09	Professional		$60.96	$62.98	$68.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $65.29 / $77.20	Facility		$64.38	$65.29	$77.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $64.84 / $71.34	Professional		$64.38	$64.84	$71.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $46.16 / $74.28	Facility		$33.20	$46.16	$74.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $58.28 / $68.34	Professional		$43.15	$58.28	$68.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $93.65 / $110.16	Facility		$93.65	$93.65	$110.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $63.52 / $63.52	Professional		$63.52	$63.52	$63.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $31.93 / $61.55	Professional		$31.93	$31.93	$61.55