Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $37.89 / $37.89	Facility		$37.89	$37.89	$37.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $131.58	Professional		$22.87	$22.87	$131.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $30.64	Facility		$30.64	$30.64	$30.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $30.64 / $36.38	Professional		$26.04	$30.64	$36.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $39.61 / $121.46	Professional		$30.81	$39.61	$121.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $39.84 / $53.00	Facility		$22.87	$39.84	$53.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $39.84 / $44.02	Professional		$4.40	$39.84	$44.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $46.84 / $55.26	Facility		$44.02	$46.84	$55.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $46.05 / $52.04	Professional		$44.02	$46.05	$52.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $37.94 / $53.00	Facility		$15.10	$37.94	$53.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $40.13 / $50.68	Professional		$30.64	$40.13	$50.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $75.84	Facility		$64.48	$64.48	$75.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $43.74	Professional		$43.74	$43.74	$43.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $22.75 / $43.74	Professional		$20.96	$22.75	$43.74