Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $127.06	Facility		$54.00	$54.00	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $52.73 / $105.80	Professional		$52.73	$52.73	$105.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $80.97 / $97.02	Professional		$36.36	$80.97	$97.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $69.88 / $113.37	Facility		$52.73	$69.88	$113.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $64.48 / $111.52	Professional		$40.93	$64.48	$111.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $79,999.20 / $79,999.20	Facility		$56.15	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $60.88 / $75.40	Facility		$58.23	$60.88	$75.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $66.18 / $66.18	Professional		$54.00	$66.18	$66.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $54.00 / $165.66	Facility		$47.73	$54.00	$165.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94