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 $45.66 / $45.66 / $262.82	Professional		$45.66	$45.66	$262.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $44.10	Facility		$44.10	$44.10	$44.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $68.56	Professional		$37.49	$44.10	$68.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $69.34 / $226.92	Professional		$60.67	$69.34	$226.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $82.33 / $109.55	Facility		$45.66	$82.33	$109.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $82.25 / $86.67	Professional		$8.67	$82.25	$86.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $92.57 / $108.02	Facility		$86.67	$92.57	$108.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $90.02 / $102.86	Professional		$86.67	$90.02	$102.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $78.41 / $109.55	Facility		$44.10	$78.41	$109.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $80.14 / $100.17	Professional		$44.10	$80.14	$100.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Professional		$87.34	$87.34	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $42.50 / $81.68	Professional		$42.50	$42.50	$81.68