Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $79.62 / $79.62	Facility		$79.62	$79.62	$79.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.00 / $62.28	Professional		$18.18	$23.00	$62.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $51.90 / $51.90	Facility		$51.90	$51.90	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $56.78 / $91.70	Professional		$31.94	$56.78	$91.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $30.98 / $1,316.26	Facility		$23.64	$30.98	$1,316.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $31.94 / $44.72	Professional		$25.67	$31.94	$44.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $47.91	Facility		$31.94	$31.94	$47.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $38.33 / $66.61	Facility		$23.64	$38.33	$66.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $35.13 / $45.37	Professional		$16.80	$35.13	$45.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $111.79	Facility		$63.88	$63.88	$111.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $62.61 / $100.70	Professional		$50.90	$62.61	$100.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $38.75	Professional		$13.41	$13.41	$38.75