Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $42.59	Facility		$42.59	$42.59	$42.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $157.71	Professional		$27.40	$27.40	$157.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $40.90	Professional		$29.25	$34.40	$40.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $46.84 / $136.55	Professional		$36.43	$46.84	$136.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $57.28 / $65.69	Facility		$27.40	$57.28	$65.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $49.26 / $62.41	Professional		$5.36	$49.26	$62.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $57.28 / $67.34	Facility		$52.04	$57.28	$67.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $53.30 / $61.23	Professional		$46.84	$53.30	$61.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $45.82 / $76.17	Facility		$20.87	$45.82	$76.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $48.10 / $59.64	Professional		$34.40	$48.10	$59.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $77.28 / $90.90	Facility		$77.28	$77.28	$90.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $52.42 / $52.42	Professional		$52.42	$52.42	$52.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $27.10 / $36.13	Facility		$3.61	$27.10	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $29.50 / $49.16	Professional		$25.58	$29.50	$49.16