Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Facility		$75.48	$75.48	$75.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $42.16 / $241.48	Professional		$41.96	$42.16	$241.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Facility		$54.52	$54.52	$54.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $54.52 / $65.30	Professional		$46.34	$54.52	$65.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $74.78 / $242.01	Professional		$58.16	$74.78	$242.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $78.94 / $90.53	Facility		$41.96	$78.94	$90.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $67.92 / $86.00	Professional		$8.31	$67.92	$86.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $84.54 / $95.49	Facility		$78.83	$84.54	$95.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $83.09 / $91.40	Professional		$74.78	$83.09	$91.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $74.00 / $104.98	Facility		$41.96	$74.00	$104.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $73.66 / $84.54	Professional		$54.52	$73.66	$84.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $118.32 / $139.18	Facility		$118.32	$118.32	$139.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $80.28	Professional		$80.28	$80.28	$80.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $41.75 / $80.67	Professional		$41.75	$41.75	$80.67