Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $114.82	Professional		$57.54	$77.62	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $275.42 / $346.74	Professional		$97.72	$275.42	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $154.88	Facility		$77.62	$97.72	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $141.25	Professional		$95.50	$104.71	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $169.82	Facility		$102.33	$125.89	$169.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $169.82	Professional		$114.82	$128.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $173.78	Facility		$67.61	$112.20	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $134.90	Professional		$58.88	$112.20	$134.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $489.78	Facility		$107.15	$181.97	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $144.54	Professional		$131.83	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $281.84	Facility		$63.10	$85.11	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $123.03	Professional		$57.54	$64.57	$123.03