Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Facility		$37.59	$37.59	$37.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.32 / $133.56	Professional		$23.21	$23.32	$133.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Facility		$29.99	$29.99	$29.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $35.90	Professional		$25.49	$29.99	$35.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $39.57 / $120.52	Professional		$30.78	$39.57	$120.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $42.01 / $55.90	Facility		$23.21	$42.01	$55.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $41.77 / $44.11	Professional		$4.54	$41.77	$44.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $51.37 / $57.16	Facility		$43.97	$51.37	$57.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $48.38 / $52.75	Professional		$43.97	$48.38	$52.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $40.93 / $55.90	Facility		$23.21	$40.93	$55.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $40.72 / $51.23	Professional		$29.99	$40.72	$51.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $65.44 / $76.98	Facility		$65.44	$65.44	$76.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $44.39 / $44.39	Professional		$44.39	$44.39	$44.39
United Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $24.18 / $32.24	Facility		$3.22	$24.18	$32.24
United Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.60 / $43.44	Professional		$22.60	$22.60	$43.44