Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $51.13 / $292.58	Professional		$50.83	$51.13	$292.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $60.78	Facility		$60.78	$60.78	$60.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $60.78 / $75.70	Professional		$51.66	$60.78	$75.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.13 / $225.98	Professional		$63.10	$81.13	$225.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $122.64 / $140.63	Facility		$50.83	$122.64	$140.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $87.52 / $133.60	Professional		$11.45	$87.52	$133.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $110.40 / $137.33	Facility		$90.14	$110.40	$137.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $92.00 / $120.14	Professional		$90.14	$92.00	$120.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $104.04 / $163.10	Facility		$50.83	$104.04	$163.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $97.19 / $115.04	Professional		$72.30	$97.19	$115.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $143.37 / $168.64	Facility		$143.37	$143.37	$168.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $97.19 / $97.19	Professional		$97.19	$97.19	$97.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $95.04	Professional		$47.52	$47.52	$95.04