Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $109.61 / $109.61	Facility		$109.61	$109.61	$109.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $37.36 / $85.74	Professional		$25.55	$37.36	$85.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $78.00 / $125.97	Professional		$43.97	$78.00	$125.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $42.65 / $1,850.70	Facility		$32.54	$42.65	$1,850.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $43.97 / $61.56	Professional		$36.07	$43.97	$61.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $43.97 / $65.95	Facility		$43.97	$43.97	$65.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $52.76 / $91.70	Facility		$32.54	$52.76	$91.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $48.37 / $62.46	Professional		$23.12	$48.37	$62.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.94 / $87.94 / $153.90	Facility		$87.94	$87.94	$153.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $86.42 / $138.55	Professional		$70.40	$86.42	$138.55
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $18.47 / $54.47	Professional		$18.47	$18.47	$54.47