Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Facility		$53.45	$53.45	$53.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $29.69 / $170.17	Professional		$29.57	$29.69	$170.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $38.63	Facility		$38.63	$38.63	$38.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $46.31	Professional		$32.84	$38.63	$46.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $53.03 / $171.39	Professional		$41.24	$53.03	$171.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $54.65 / $62.70	Facility		$29.57	$54.65	$62.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $46.98 / $59.57	Professional		$5.89	$46.98	$59.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $59.22 / $66.89	Facility		$55.19	$59.22	$66.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $64.81	Professional		$58.92	$58.92	$64.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $52.05 / $72.68	Facility		$29.57	$52.05	$72.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $51.90 / $59.22	Professional		$38.63	$51.90	$59.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $83.38 / $98.08	Facility		$83.38	$83.38	$98.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $56.57	Professional		$56.57	$56.57	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $29.42 / $56.57	Professional		$29.42	$29.42	$56.57