Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $52.28 / $52.28	Facility		$52.28	$52.28	$52.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.88 / $165.45	Professional		$28.75	$28.88	$165.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $45.15	Professional		$31.99	$37.64	$45.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $51.71 / $167.61	Professional		$40.22	$51.71	$167.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $52.76 / $60.52	Facility		$28.75	$52.76	$60.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $45.39 / $57.49	Professional		$5.74	$45.39	$57.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $57.45 / $64.88	Facility		$53.54	$57.45	$64.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $57.45 / $58.98	Professional		$51.71	$57.45	$58.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $50.25 / $70.17	Facility		$28.75	$50.25	$70.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $50.47 / $57.43	Professional		$37.64	$50.47	$57.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $95.36	Facility		$81.06	$81.06	$95.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.01 / $55.01	Professional		$55.01	$55.01	$55.01
United Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.61 / $55.01	Professional		$28.24	$28.61	$55.01