Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $31.62	Professional		$18.20	$26.92	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $91.20	Professional		$31.62	$54.95	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $50.12	Facility		$23.99	$31.62	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $45.71	Professional		$25.70	$42.66	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $44.67	Facility		$31.62	$31.62	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $56.23	Facility		$23.44	$37.15	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $44.67	Professional		$16.98	$25.12	$44.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $112.20	Facility		$64.57	$64.57	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $38.02	Professional		$25.12	$26.92	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $38.90	Professional		$13.49	$13.49	$38.90