Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $143.52	Professional		$24.94	$24.94	$143.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Facility		$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.79 / $39.42	Professional		$27.87	$32.79	$39.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $45.14 / $140.30	Professional		$35.11	$45.14	$140.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $44.93 / $51.54	Facility		$24.94	$44.93	$51.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $38.63 / $50.16	Professional		$4.90	$38.63	$50.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $50.16 / $55.92	Facility		$45.76	$50.16	$55.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.84	Professional		$50.16	$50.16	$50.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $35.94 / $59.76	Facility		$16.37	$35.94	$59.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $43.78 / $49.50	Professional		$32.79	$43.78	$49.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $70.31 / $82.72	Facility		$70.31	$70.31	$82.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $47.72 / $47.72	Professional		$47.72	$47.72	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $24.82 / $48.69	Professional		$23.87	$24.82	$48.69