Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.93 / $174.89	Professional		$30.38	$30.93	$174.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $39.01	Facility		$39.01	$39.01	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $39.01 / $47.20	Professional		$33.15	$39.01	$47.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $50.68 / $156.30	Professional		$39.42	$50.68	$156.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $63.84 / $76.89	Facility		$30.38	$63.84	$76.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $54.79 / $73.05	Professional		$7.29	$54.79	$73.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $67.34 / $75.09	Facility		$56.31	$67.34	$75.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $61.22 / $75.09	Professional		$56.31	$61.22	$75.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $54.28 / $89.14	Facility		$25.82	$54.28	$89.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $53.32 / $68.65	Professional		$39.01	$53.32	$68.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $85.70 / $100.80	Facility		$85.70	$85.70	$100.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $58.10 / $58.10	Professional		$58.10	$58.10	$58.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $36.97 / $57.37	Professional		$29.47	$36.97	$57.37