Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Facility		$48.46	$48.46	$48.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $27.10 / $155.21	Professional		$26.97	$27.10	$155.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $41.86	Professional		$29.84	$35.11	$41.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $47.93 / $155.36	Professional		$37.28	$47.93	$155.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.97 / $48.67 / $58.60	Facility		$26.97	$48.67	$58.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $44.01 / $55.67	Professional		$5.33	$44.01	$55.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $54.48 / $63.91	Facility		$50.80	$54.48	$63.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $53.26 / $55.94	Professional		$50.35	$53.26	$55.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $41.58 / $67.95	Facility		$18.94	$41.58	$67.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $47.34 / $54.48	Professional		$35.11	$47.34	$54.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $76.05 / $89.46	Facility		$76.05	$76.05	$89.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $51.60 / $51.60	Professional		$51.60	$51.60	$51.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $51.60	Professional		$26.84	$26.84	$51.60