Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $47.29 / $47.29	Facility		$47.29	$47.29	$47.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.95 / $154.35	Professional		$26.81	$26.95	$154.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $42.64	Professional		$31.15	$36.65	$42.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $46.80 / $151.61	Professional		$36.40	$46.80	$151.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $45.90 / $61.08	Facility		$26.81	$45.90	$61.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $45.85 / $58.03	Professional		$5.79	$45.85	$58.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $55.86 / $62.40	Facility		$52.00	$55.86	$62.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $55.86 / $61.08	Professional		$52.00	$55.86	$61.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $43.71 / $61.08	Facility		$26.81	$43.71	$61.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $47.07 / $59.52	Professional		$36.65	$47.07	$59.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $75.63 / $88.96	Facility		$75.63	$75.63	$88.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $51.30 / $51.30	Professional		$51.30	$51.30	$51.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $26.69 / $51.30	Professional		$24.79	$26.69	$51.30