Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $89.13	Professional		$39.81	$57.54	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $251.19	Professional		$89.13	$204.17	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $117.49	Facility		$69.18	$87.10	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $125.89	Professional		$85.11	$91.20	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $114.82	Facility		$91.20	$93.33	$114.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $114.82	Professional		$93.33	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $138.04	Facility		$52.48	$91.20	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $120.23	Professional		$52.48	$100.00	$120.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $446.68	Facility		$95.50	$162.18	$446.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $128.82	Professional		$117.49	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $204.17	Facility		$46.77	$63.10	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $89.13	Professional		$42.66	$46.77	$89.13