Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $53.84 / $172.34	Facility		$53.84	$53.84	$172.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $55.00 / $298.00	Professional		$41.60	$55.00	$298.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $61.54	Professional		$44.92	$44.92	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $174.00 / $226.94	Professional		$62.83	$174.00	$226.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $73.76 / $98.73	Facility		$53.84	$73.76	$98.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $84.37 / $94.24	Professional		$66.73	$84.37	$94.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $89.75 / $98.73	Facility		$71.25	$89.75	$98.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $89.75 / $92.92	Professional		$80.78	$89.75	$92.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $77.09 / $94.24	Facility		$53.84	$77.09	$94.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $78.59 / $98.73	Professional		$44.92	$78.59	$98.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $149.26 / $314.88	Facility		$74.78	$149.26	$314.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $98.73 / $98.73	Professional		$77.19	$98.73	$98.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $40.98 / $78.18	Professional		$38.57	$40.98	$78.18