Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Facility		$42.29	$42.29	$42.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.76 / $147.86	Professional		$25.76	$25.76	$147.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Facility		$33.33	$33.33	$33.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $39.78	Professional		$28.33	$33.33	$39.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $45.55 / $135.60	Professional		$35.43	$45.55	$135.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $49.51 / $56.76	Facility		$25.76	$49.51	$56.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $42.98 / $53.14	Professional		$5.05	$42.98	$53.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $52.29 / $60.73	Facility		$49.51	$52.29	$60.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $50.61 / $53.70	Professional		$45.55	$50.61	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $45.22 / $65.84	Facility		$25.76	$45.22	$65.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $45.22 / $52.29	Professional		$33.33	$45.22	$52.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $72.65 / $85.46	Facility		$72.65	$72.65	$85.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $49.29 / $49.29	Professional		$49.29	$49.29	$49.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $45.94	Professional		$24.08	$24.08	$45.94