Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $51.29	Professional		$22.91	$32.36	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $147.91	Professional		$53.70	$117.49	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $69.18	Facility		$42.66	$53.70	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $77.62	Professional		$52.48	$57.54	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $70.79	Facility		$56.23	$69.18	$70.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $70.79	Professional		$64.57	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $79.43	Facility		$35.48	$54.95	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $67.61 / $79.43	Professional		$28.84	$67.61	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $275.42	Facility		$58.88	$100.00	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $79.43	Professional		$72.44	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $51.29 / $117.49	Facility		$26.30	$51.29	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $51.29	Professional		$23.99	$26.92	$51.29