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 $29.74 / $29.74 / $171.11	Professional		$29.74	$29.74	$171.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $39.06	Facility		$39.06	$39.06	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $46.90	Professional		$33.20	$39.06	$46.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $53.70 / $173.25	Professional		$41.77	$53.70	$173.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $53.89 / $61.78	Facility		$29.74	$53.89	$61.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $46.39 / $59.67	Professional		$5.85	$46.39	$59.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $59.67 / $66.80	Facility		$54.66	$59.67	$66.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $59.67 / $62.65	Professional		$53.70	$59.67	$62.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $52.02 / $71.67	Facility		$29.74	$52.02	$71.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $52.19 / $59.14	Professional		$39.06	$52.19	$59.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $83.84 / $98.62	Facility		$83.84	$83.84	$98.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $56.89 / $56.89	Professional		$56.89	$56.89	$56.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $29.59 / $57.93	Professional		$28.63	$29.59	$57.93