Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $36.20 / $208.34	Professional		$36.20	$36.20	$208.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Facility		$48.02	$48.02	$48.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $56.29	Professional		$40.82	$48.02	$56.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $60.82 / $192.08	Professional		$47.31	$60.82	$192.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $74.90 / $90.18	Facility		$36.20	$74.90	$90.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $65.61 / $78.98	Professional		$8.55	$65.61	$78.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.65 / $88.95	Facility		$67.58	$78.65	$88.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $73.31 / $84.77	Professional		$67.58	$73.31	$84.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $63.53 / $104.60	Facility		$29.14	$63.53	$104.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $63.53 / $80.31	Professional		$48.02	$63.53	$80.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $102.09 / $120.08	Facility		$102.09	$102.09	$120.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $69.23 / $69.23	Professional		$69.23	$69.23	$69.23
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $41.54 / $69.23	Professional		$36.02	$41.54	$69.23