Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Facility		$44.35	$44.35	$44.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $26.93 / $154.97	Professional		$26.93	$26.93	$154.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $40.49	Professional		$22.19	$26.10	$40.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $46.86 / $142.19	Professional		$36.45	$46.86	$142.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $46.42 / $61.75	Facility		$26.93	$46.42	$61.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $46.42 / $52.07	Professional		$5.05	$46.42	$52.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $55.58 / $65.87	Facility		$52.07	$55.58	$65.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $53.89 / $59.88	Professional		$52.07	$53.89	$59.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $44.21 / $61.75	Facility		$17.59	$44.21	$61.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $47.26 / $58.32	Professional		$26.10	$47.26	$58.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $51.51 / $51.51	Professional		$51.51	$51.51	$51.51
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $29.12 / $38.83	Facility		$3.89	$29.12	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $25.23 / $49.47	Professional		$24.43	$25.23	$49.47