Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Facility		$74.31	$74.31	$74.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $302.41	Professional		$52.54	$52.54	$302.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $66.39	Facility		$66.39	$66.39	$66.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $66.39 / $77.00	Professional		$56.43	$66.39	$77.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $87.64 / $238.23	Professional		$68.17	$87.64	$238.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $99.91 / $132.97	Facility		$52.54	$99.91	$132.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $93.72 / $102.25	Professional		$9.74	$93.72	$102.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $108.90 / $129.85	Facility		$97.38	$108.90	$129.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $102.27 / $118.87	Professional		$87.64	$102.27	$118.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $92.20 / $132.97	Facility		$52.54	$92.20	$132.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $92.20 / $113.45	Professional		$66.39	$92.20	$113.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $100.48 / $100.48	Professional		$100.48	$100.48	$100.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $51.36 / $85.60	Professional		$44.54	$51.36	$85.60