Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $30.85 / $176.76	Professional		$30.71	$30.85	$176.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $48.45	Professional		$34.31	$40.36	$48.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $55.49 / $179.86	Professional		$43.16	$55.49	$179.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $55.64 / $63.81	Facility		$30.71	$55.64	$63.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $47.82 / $61.65	Professional		$6.11	$47.82	$61.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $61.65 / $69.00	Facility		$56.93	$61.65	$69.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $61.65 / $67.81	Professional		$55.49	$61.65	$67.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $52.99 / $73.98	Facility		$30.71	$52.99	$73.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $53.92 / $61.08	Professional		$40.36	$53.92	$61.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $86.61 / $101.88	Facility		$86.61	$86.61	$101.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.77 / $58.77 / $58.77	Professional		$58.77	$58.77	$58.77
United Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $30.56 / $59.86	Professional		$30.04	$30.56	$59.86