Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $46.31 / $73.34	Facility		$37.04	$46.31	$73.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.40 / $63.73	Professional		$36.67	$37.40	$63.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $79.47 / $87.02	Facility		$34.59	$79.47	$87.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.97	Professional		$36.67	$36.67	$44.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $87.77 / $134.30	Professional		$64.70	$87.77	$134.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $58.13 / $274.95	Facility		$36.67	$58.13	$274.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $42.17 / $51.34	Professional		$36.67	$42.17	$51.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $41.94 / $110.01	Facility		$36.67	$41.94	$110.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $58.39 / $213.84	Facility		$36.67	$58.39	$213.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $48.55 / $58.50	Professional		$36.67	$48.55	$58.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $35.45 / $126.47	Facility		$35.45	$35.45	$126.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $40.34	Professional		$36.67	$36.67	$40.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $42.17	Professional		$36.67	$36.67	$42.17