Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Facility		$71.37	$71.37	$71.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $42.37 / $243.87	Professional		$42.37	$42.37	$243.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Facility		$35.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.54 / $65.00	Professional		$30.22	$35.54	$65.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $72.95 / $228.81	Professional		$56.75	$72.95	$228.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $74.94 / $99.73	Facility		$42.37	$74.94	$99.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $74.94 / $81.06	Professional		$8.11	$74.94	$81.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $88.81 / $105.39	Facility		$81.06	$88.81	$105.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $88.81 / $96.31	Professional		$81.06	$88.81	$96.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $71.37 / $99.73	Facility		$35.54	$71.37	$99.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $74.36 / $93.78	Professional		$35.54	$74.36	$93.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $81.04 / $81.04	Professional		$81.04	$81.04	$81.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $78.79	Professional		$39.40	$39.40	$78.79