Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.96 / $166.66	Professional		$28.96	$28.96	$166.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $45.55	Professional		$32.22	$37.90	$45.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $52.16 / $168.55	Professional		$40.57	$52.16	$168.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $52.91 / $60.66	Facility		$28.96	$52.91	$60.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $45.53 / $57.95	Professional		$5.77	$45.53	$57.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $57.95 / $65.23	Facility		$53.38	$57.95	$65.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $63.75	Professional		$57.95	$57.95	$63.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $42.33 / $70.37	Facility		$19.27	$42.33	$70.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $50.83 / $57.75	Professional		$37.90	$50.83	$57.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $81.67 / $96.06	Facility		$81.67	$81.67	$96.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $55.40 / $55.40	Professional		$55.40	$55.40	$55.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.82 / $56.27	Professional		$28.10	$28.82	$56.27