Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $54.04 / $54.04	Facility		$54.04	$54.04	$54.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $32.17 / $185.19	Professional		$32.17	$32.17	$185.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $49.20	Professional		$36.27	$42.67	$49.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $54.08 / $173.25	Professional		$42.06	$54.08	$173.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $66.51 / $80.06	Facility		$32.17	$66.51	$80.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $57.09 / $63.20	Professional		$6.01	$57.09	$63.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $69.23 / $78.19	Facility		$60.09	$69.23	$78.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $62.94 / $74.18	Professional		$54.08	$62.94	$74.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $55.87 / $92.87	Facility		$25.44	$55.87	$92.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $56.47 / $70.29	Professional		$42.67	$56.47	$70.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $90.75 / $106.74	Facility		$90.75	$90.75	$106.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $34.90 / $58.19	Professional		$30.27	$34.90	$58.19