Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $97.72	Professional		$50.12	$63.10	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $281.84	Professional		$81.28	$229.09	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $125.89	Facility		$63.10	$79.43	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $114.82	Professional		$79.43	$85.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $141.25	Facility		$83.18	$102.33	$141.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $141.25	Professional		$95.50	$104.71	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $144.54	Facility		$57.54	$91.20	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $112.20	Professional		$50.12	$93.33	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $407.38	Facility		$89.13	$151.36	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $117.49	Professional		$107.15	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $83.18 / $229.09	Facility		$52.48	$83.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $100.00	Professional		$47.86	$52.48	$100.00