Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $37.89 / $37.89	Facility		$37.89	$37.89	$37.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $25.49 / $146.75	Professional		$25.49	$25.49	$146.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.00 / $37.68	Professional		$26.35	$31.00	$37.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $39.74 / $121.46	Professional		$30.91	$39.74	$121.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $64.22 / $85.41	Facility		$25.49	$64.22	$85.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $42.87 / $69.97	Professional		$6.01	$42.87	$69.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $53.08 / $71.92	Facility		$44.16	$53.08	$71.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $44.23 / $62.20	Professional		$44.16	$44.23	$62.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $61.16 / $97.52	Facility		$25.49	$61.16	$97.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $44.73 / $58.97	Professional		$31.00	$44.73	$58.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $71.91 / $84.58	Facility		$71.91	$71.91	$84.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $48.74 / $48.74	Professional		$48.74	$48.74	$48.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $25.11 / $50.22	Professional		$25.11	$25.11	$50.22