Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $99.16	Facility		$42.14	$42.14	$99.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $42.14	Professional		$41.15	$41.15	$42.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Facility		$66.94	$66.94	$66.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $40.47 / $48.52	Professional		$18.18	$40.47	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $54.54 / $88.47	Facility		$37.36	$54.54	$88.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $44.57 / $81.04	Professional		$23.36	$44.57	$81.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $79,999.20 / $79,999.20	Facility		$52.17	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $54.54 / $88.47	Facility		$41.07	$54.54	$88.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $45.32 / $49.23	Professional		$31.13	$45.32	$49.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $67.41 / $152.44	Facility		$38.09	$67.41	$152.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31