Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $61.66	Professional		$30.20	$40.74	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $181.97	Professional		$53.70	$147.91	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $83.18	Facility		$41.69	$52.48	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $75.86	Professional		$52.48	$56.23	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $91.20	Facility		$54.95	$67.61	$91.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $91.20	Professional		$63.10	$69.18	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $93.33	Facility		$36.31	$60.26	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $79.43	Professional		$30.90	$66.07	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $269.15	Facility		$58.88	$97.72	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Professional		$70.79	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $147.91	Facility		$33.88	$66.07	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $64.57	Professional		$30.90	$33.88	$64.57