Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $34.10 / $40.57	Facility		$34.10	$34.10	$40.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.76 / $186.86	Professional		$19.10	$21.76	$186.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $38.15	Professional		$32.43	$32.43	$38.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $38.35 / $50.03	Professional		$12.85	$38.35	$50.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $23.21 / $60.89	Facility		$18.36	$23.21	$60.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $43.80 / $51.10	Professional		$17.44	$43.80	$51.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $47.90 / $53.22	Facility		$18.36	$47.90	$53.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $27.36 / $54.46	Professional		$18.36	$27.36	$54.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $26.50 / $56.76	Facility		$18.36	$26.50	$56.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.78 / $53.85	Professional		$21.38	$28.78	$53.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $91.56 / $107.70	Facility		$24.46	$91.56	$107.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $20.20 / $55.61	Professional		$15.97	$20.20	$55.61
United Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $103.65	Facility		$77.73	$77.73	$103.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $29.59 / $45.59	Professional		$19.73	$29.59	$45.59