Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $50.81 / $50.81	Facility		$50.81	$50.81	$50.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $33.18 / $190.95	Professional		$29.73	$33.18	$190.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $52.54	Professional		$37.76	$44.42	$52.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $60.17 / $162.91	Professional		$46.80	$60.17	$162.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $59.45 / $68.19	Facility		$33.18	$59.45	$68.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $51.19 / $66.84	Professional		$6.69	$51.19	$66.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $65.75 / $70.58	Facility		$56.60	$65.75	$70.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $59.48 / $67.52	Professional		$57.95	$59.48	$67.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $52.08 / $79.06	Facility		$33.18	$52.08	$79.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $58.25 / $65.75	Professional		$44.42	$58.25	$65.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $93.57 / $110.06	Facility		$93.57	$93.57	$110.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $63.49 / $63.49	Professional		$63.49	$63.49	$63.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $56.60	Professional		$28.91	$28.91	$56.60