Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $46.11 / $46.11	Facility		$46.11	$46.11	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $28.42 / $152.19	Professional		$28.42	$28.42	$152.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Facility		$36.44	$36.44	$36.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $43.43	Professional		$30.97	$36.44	$43.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $50.43 / $147.83	Professional		$39.22	$50.43	$147.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $54.11 / $62.04	Facility		$28.42	$54.11	$62.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $46.56 / $58.83	Professional		$5.32	$46.56	$58.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $56.03 / $64.73	Facility		$52.69	$56.03	$64.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $53.95 / $59.35	Professional		$53.14	$53.95	$59.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $49.89 / $71.97	Facility		$28.42	$49.89	$71.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $49.89 / $57.50	Professional		$36.44	$49.89	$57.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $80.15 / $94.28	Facility		$80.15	$80.15	$94.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $54.38 / $54.38	Professional		$54.38	$54.38	$54.38
United Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $26.32 / $51.51	Professional		$26.32	$26.32	$51.51