Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $43.17 / $43.17	Facility		$43.17	$43.17	$43.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $156.43	Professional		$27.19	$27.19	$156.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $42.48	Professional		$21.42	$25.20	$42.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $48.65 / $138.41	Professional		$37.84	$48.65	$138.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $50.57 / $58.00	Facility		$27.19	$50.57	$58.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $43.54 / $55.10	Professional		$4.92	$43.54	$55.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $54.05 / $59.46	Facility		$48.14	$54.05	$59.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $54.05 / $58.66	Professional		$48.65	$54.05	$58.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $47.72 / $67.25	Facility		$25.20	$47.72	$67.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $47.72 / $54.55	Professional		$25.20	$47.72	$54.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $76.65 / $90.16	Facility		$76.65	$76.65	$90.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $52.01 / $52.01	Professional		$52.01	$52.01	$52.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $24.59 / $48.14	Professional		$24.59	$24.59	$48.14