Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $41.70 / $225.17	Professional		$39.11	$41.70	$225.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $43.29	Facility		$43.29	$43.29	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $105.43	Professional		$36.79	$43.29	$105.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $59.54 / $163.83	Professional		$46.31	$59.54	$163.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $120.72 / $138.47	Facility		$43.79	$120.72	$138.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $64.22 / $109.25	Professional		$8.27	$64.22	$109.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $72.77 / $135.22	Facility		$58.60	$72.77	$135.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $66.15 / $104.21	Professional		$58.60	$66.15	$104.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.70 / $114.97 / $160.54	Facility		$41.70	$114.97	$160.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $74.77 / $101.57	Professional		$43.29	$74.77	$101.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $79.70 / $79.70	Professional		$79.70	$79.70	$79.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $73.79	Professional		$36.89	$36.89	$73.79