Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.69 / $290.27	Professional		$50.43	$50.69	$290.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $78.33	Professional		$56.42	$66.38	$78.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $86.21 / $268.37	Professional		$67.05	$86.21	$268.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $105.33 / $120.81	Facility		$50.43	$105.33	$120.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $90.04 / $114.77	Professional		$9.58	$90.04	$114.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $105.37 / $124.53	Facility		$95.79	$105.37	$124.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $101.43 / $115.57	Professional		$95.79	$101.43	$115.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $93.64 / $140.08	Facility		$50.43	$93.64	$140.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $88.52 / $111.60	Professional		$66.38	$88.52	$111.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $142.22 / $167.30	Facility		$142.22	$142.22	$167.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $96.46 / $96.46	Professional		$96.46	$96.46	$96.46
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $55.88 / $96.46	Professional		$50.19	$55.88	$96.46