Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $87.10	Facility		$51.29	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $263.03	Professional		$42.66	$58.88	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
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 $47.86 / $131.83 / $162.18	Professional		$47.86	$131.83	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $109.65	Facility		$51.29	$95.50	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $102.33	Professional		$58.88	$89.13	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $79.43 / $100.00	Facility		$61.66	$79.43	$100.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $100.00	Professional		$61.66	$63.10	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $125.89	Facility		$51.29	$69.18	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $100.00	Professional		$48.98	$72.44	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $173.78 / $275.42	Facility		$60.26	$173.78	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $107.15	Professional		$63.10	$69.18	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $89.13 / $239.88	Facility		$48.98	$89.13	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $75.86	Professional		$35.48	$48.98	$75.86