Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $83.18	Professional		$30.90	$43.65	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $190.55	Professional		$56.23	$154.88	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $85.11	Facility		$44.67	$56.23	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $81.28	Professional		$54.95	$58.88	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $74.13	Facility		$58.88	$72.44	$74.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $74.13	Professional		$66.07	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $95.50	Facility		$44.67	$63.10	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $79.43	Professional		$38.90	$70.79	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $281.84	Facility		$61.66	$104.71	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $83.18	Professional		$75.86	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $154.88	Facility		$35.48	$45.71	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $67.61	Professional		$32.36	$35.48	$67.61