Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $41.12 / $41.12	Facility		$41.12	$41.12	$41.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $144.01	Professional		$25.02	$25.02	$144.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $39.89	Professional		$27.12	$31.91	$39.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $43.22 / $131.82	Professional		$33.61	$43.22	$131.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $34.28 / $87.15	Facility		$25.02	$34.28	$87.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $46.62 / $50.42	Professional		$4.80	$46.62	$50.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $52.82 / $61.12	Facility		$47.73	$52.82	$61.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $48.02 / $55.56	Professional		$47.73	$48.02	$55.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $34.28 / $87.15	Facility		$25.02	$34.28	$87.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $43.92 / $54.11	Professional		$31.91	$43.92	$54.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $83.00	Facility		$70.56	$70.56	$83.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $24.57 / $43.81	Professional		$22.79	$24.57	$43.81