Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Facility		$73.72	$73.72	$73.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.47 / $237.59	Professional		$41.28	$41.47	$237.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $44.33	Facility		$44.33	$44.33	$44.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $44.33 / $67.81	Professional		$37.68	$44.33	$67.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $73.20 / $236.34	Professional		$56.94	$73.20	$236.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $67.81 / $90.23	Facility		$41.28	$67.81	$90.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $67.81 / $81.34	Professional		$8.13	$67.81	$81.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $88.14 / $105.74	Facility		$81.34	$88.14	$105.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $81.34 / $90.25	Professional		$81.34	$81.34	$90.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $64.59 / $90.23	Facility		$41.28	$64.59	$90.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $78.98 / $88.14	Professional		$44.33	$78.98	$88.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.42 / $116.42 / $136.94	Facility		$116.42	$116.42	$136.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $78.98	Professional		$78.98	$78.98	$78.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $41.08 / $78.98	Professional		$36.63	$41.08	$78.98