Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $70.78	Facility		$70.78	$70.78	$70.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $259.70	Professional		$45.12	$45.12	$259.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $68.67	Professional		$48.91	$57.54	$68.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $76.68 / $226.92	Professional		$59.64	$76.68	$226.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $95.53 / $109.57	Facility		$45.12	$95.53	$109.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $80.94 / $104.09	Professional		$10.44	$80.94	$104.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $95.53 / $110.76	Facility		$85.20	$95.53	$110.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $92.58 / $102.26	Professional		$85.20	$92.58	$102.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $90.98 / $127.04	Facility		$45.12	$90.98	$127.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.19 / $99.26	Professional		$57.54	$79.19	$99.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $149.68	Facility		$127.25	$127.25	$149.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $86.30 / $86.30	Professional		$86.30	$86.30	$86.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $50.24 / $81.67	Professional		$42.50	$50.24	$81.67