Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $52.87	Facility		$52.87	$52.87	$52.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $33.44 / $191.48	Professional		$33.27	$33.44	$191.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Facility		$42.49	$42.49	$42.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $51.33	Professional		$36.11	$42.49	$51.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $56.53 / $169.50	Professional		$43.97	$56.53	$169.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $60.73 / $80.81	Facility		$33.27	$60.73	$80.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $59.67 / $76.78	Professional		$7.65	$59.67	$76.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $73.50 / $78.93	Facility		$62.81	$73.50	$78.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $68.95 / $75.84	Professional		$62.81	$68.95	$75.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $57.84 / $80.81	Facility		$33.27	$57.84	$80.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $58.39 / $73.18	Professional		$42.49	$58.39	$73.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $93.82 / $110.36	Facility		$93.82	$93.82	$110.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $63.63 / $63.63	Professional		$63.63	$63.63	$63.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $60.94	Professional		$31.72	$31.72	$60.94