Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Facility		$42.29	$42.29	$42.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $26.16 / $150.56	Professional		$26.16	$26.16	$150.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Facility		$33.36	$33.36	$33.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $39.20	Professional		$28.36	$33.36	$39.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $44.05 / $135.60	Professional		$34.26	$44.05	$135.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $56.57 / $64.88	Facility		$26.16	$56.57	$64.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $47.39 / $61.64	Professional		$5.30	$47.39	$61.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $56.28 / $63.62	Facility		$48.94	$56.28	$63.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $49.10 / $59.93	Professional		$48.94	$49.10	$59.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $45.26 / $75.23	Facility		$20.61	$45.26	$75.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.91 / $57.01	Professional		$33.36	$45.91	$57.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $73.78 / $86.78	Facility		$73.78	$73.78	$86.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $50.04 / $50.04	Professional		$50.04	$50.04	$50.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $48.93	Professional		$25.46	$25.46	$48.93