Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $74.01 / $74.01	Facility		$74.01	$74.01	$74.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $49.94 / $285.86	Professional		$49.66	$49.94	$285.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Facility		$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $73.04	Professional		$51.68	$60.80	$73.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $80.66 / $237.28	Professional		$62.73	$80.66	$237.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $115.83 / $132.84	Facility		$49.66	$115.83	$132.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $87.01 / $126.20	Professional		$10.48	$87.01	$126.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $109.09 / $129.72	Facility		$89.62	$109.09	$129.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $90.91 / $128.08	Professional		$89.62	$90.91	$128.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $110.31 / $151.50	Facility		$49.66	$110.31	$151.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $87.15 / $111.44	Professional		$60.80	$87.15	$111.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.07 / $140.07 / $164.76	Facility		$140.07	$140.07	$164.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $47.77 / $95.34	Professional		$47.77	$47.77	$95.34