Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $36.08 / $207.68	Professional		$36.08	$36.08	$207.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Facility		$46.18	$46.18	$46.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $54.37	Professional		$39.25	$46.18	$54.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $59.84 / $192.08	Professional		$46.54	$59.84	$192.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $80.59 / $92.45	Facility		$36.08	$80.59	$92.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $64.55 / $87.83	Professional		$7.54	$64.55	$87.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $75.72 / $90.28	Facility		$66.48	$75.72	$90.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $67.78 / $84.13	Professional		$59.84	$67.78	$84.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $63.32 / $107.17	Facility		$29.36	$63.32	$107.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $63.32 / $79.73	Professional		$46.18	$63.32	$79.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $101.76 / $119.70	Facility		$101.76	$101.76	$119.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $42.04 / $69.00	Professional		$35.90	$42.04	$69.00