Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $100.00	Professional		$40.74	$52.48	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $186.21 / $234.42	Professional		$66.07	$186.21	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $100.00	Facility		$52.48	$66.07	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $95.50	Professional		$64.57	$70.79	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $87.10	Facility		$69.18	$85.11	$87.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $87.10	Professional		$79.43	$87.10	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $117.49	Facility		$51.29	$74.13	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $91.20	Professional		$46.77	$79.43	$91.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $123.03 / $331.13	Facility		$72.44	$123.03	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $97.72	Professional		$89.13	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $190.55	Facility		$43.65	$60.26	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $83.18	Professional		$39.81	$43.65	$83.18