Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $93.33	Professional		$45.71	$61.66	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $223.87 / $275.42	Professional		$85.11	$223.87	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $120.23	Facility		$67.61	$85.11	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $123.03	Professional		$83.18	$91.20	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $112.20	Facility		$89.13	$109.65	$112.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $112.20	Professional		$100.00	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $141.25	Facility		$56.23	$93.33	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $117.49	Professional		$54.95	$97.72	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $426.58	Facility		$93.33	$158.49	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $125.89	Professional		$114.82	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $223.87	Facility		$51.29	$69.18	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $97.72	Professional		$46.77	$51.29	$97.72