Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $235.41	Professional		$40.90	$40.90	$235.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $54.06	Facility		$54.06	$54.06	$54.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $64.98	Professional		$45.95	$54.06	$64.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $74.41 / $230.70	Professional		$57.88	$74.41	$230.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $72.62 / $83.30	Facility		$40.90	$72.62	$83.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $62.45 / $82.68	Professional		$7.89	$62.45	$82.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $82.68 / $99.22	Facility		$74.69	$82.68	$99.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $82.68 / $90.95	Professional		$74.41	$82.68	$90.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $69.16 / $96.58	Facility		$40.90	$69.16	$96.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $71.81 / $80.81	Professional		$54.06	$71.81	$80.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $115.35 / $135.68	Facility		$115.35	$115.35	$135.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $78.27 / $78.27	Professional		$78.27	$78.27	$78.27
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $40.70 / $78.27	Professional		$38.57	$40.70	$78.27