Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $69.31	Facility		$69.31	$69.31	$69.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $43.99 / $251.89	Professional		$43.76	$43.99	$251.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $55.97	Facility		$55.97	$55.97	$55.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $67.48	Professional		$47.57	$55.97	$67.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $73.40 / $222.23	Professional		$57.09	$73.40	$222.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $95.45 / $109.47	Facility		$43.76	$95.45	$109.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $77.97 / $104.00	Professional		$10.44	$77.97	$104.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $95.45 / $106.90	Facility		$81.55	$95.45	$106.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $89.91 / $101.07	Professional		$81.55	$89.91	$101.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $90.90 / $126.93	Facility		$43.76	$90.90	$126.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $76.81 / $96.66	Professional		$55.97	$76.81	$96.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $123.42 / $145.18	Facility		$123.42	$123.42	$145.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $83.70 / $83.70	Professional		$83.70	$83.70	$83.70
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $41.89 / $80.48	Professional		$41.89	$41.89	$80.48