Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $102.33	Professional		$38.02	$52.48	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $234.42	Professional		$83.18	$190.55	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $109.65	Facility		$64.57	$83.18	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $117.49	Professional		$81.28	$87.10	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $109.65	Facility		$85.11	$87.10	$109.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $109.65	Professional		$87.10	$109.65	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $131.83	Facility		$57.54	$85.11	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $114.82	Professional		$48.98	$95.50	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $416.87	Facility		$91.20	$154.88	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $123.03	Professional		$109.65	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $190.55	Facility		$43.65	$58.88	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $83.18	Professional		$39.81	$43.65	$83.18