Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $48.17 / $48.17	Facility		$48.17	$48.17	$48.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.76 / $158.72	Professional		$27.50	$27.76	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Facility		$36.74	$36.74	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.74 / $44.24	Professional		$31.23	$36.74	$44.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $49.51 / $154.44	Professional		$38.51	$49.51	$154.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $47.95 / $55.01	Facility		$27.50	$47.95	$55.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $41.29 / $55.01	Professional		$5.32	$41.29	$55.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $55.01 / $60.51	Facility		$50.36	$55.01	$60.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.01 / $61.55	Professional		$55.01	$55.01	$61.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $46.82 / $63.77	Facility		$27.50	$46.82	$63.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $48.17 / $53.72	Professional		$36.74	$48.17	$53.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $91.48	Facility		$77.77	$77.77	$91.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $52.36 / $52.36	Professional		$52.36	$52.36	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $27.44 / $54.89	Professional		$25.91	$27.44	$54.89