Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $87.13 / $87.13	Facility		$87.13	$87.13	$87.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $59.18 / $295.00	Professional		$42.00	$59.18	$295.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Facility		$67.14	$67.14	$67.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $67.14	Professional		$49.01	$49.01	$67.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $129.27 / $168.58	Professional		$43.06	$129.27	$168.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $61.52 / $110.41	Facility		$51.14	$61.52	$110.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $85.19 / $99.39	Professional		$58.44	$85.19	$99.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $89.64 / $100.58	Facility		$61.52	$89.64	$100.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $62.68 / $100.58	Professional		$61.52	$62.68	$100.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $64.59 / $110.41	Facility		$51.14	$64.59	$110.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $74.77 / $104.73	Professional		$49.01	$74.77	$104.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $178.07 / $255.50	Facility		$63.55	$178.07	$255.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $67.67 / $105.11	Professional		$53.52	$67.67	$105.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $49.17 / $81.95	Professional		$44.44	$49.17	$81.95