Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $46.41 / $46.41	Facility		$46.41	$46.41	$46.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $162.74	Professional		$28.27	$28.27	$162.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $36.06	Facility		$36.06	$36.06	$36.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $45.08	Professional		$30.65	$36.06	$45.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.83 / $148.77	Professional		$37.97	$48.83	$148.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $38.72 / $98.77	Facility		$28.27	$38.72	$98.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $52.68 / $56.97	Professional		$5.42	$52.68	$56.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $59.32 / $69.06	Facility		$53.93	$59.32	$69.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $54.26 / $62.78	Professional		$51.55	$54.26	$62.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $38.72 / $98.77	Facility		$28.27	$38.72	$98.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $49.63 / $61.14	Professional		$36.06	$49.63	$61.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $79.73 / $93.80	Facility		$79.73	$79.73	$93.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Professional		$54.08	$54.08	$54.08
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $49.51	Professional		$25.75	$25.75	$49.51