Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $50.12	Professional		$23.99	$30.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $109.65 / $134.90	Professional		$42.66	$109.65	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $57.54	Facility		$33.11	$41.69	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $58.88	Professional		$40.74	$43.65	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $57.54	Facility		$43.65	$53.70	$57.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $57.54	Professional		$50.12	$54.95	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $70.79	Facility		$29.51	$45.71	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $52.48 / $79.43	Professional		$22.91	$52.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $213.80	Facility		$45.71	$77.62	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $61.66	Professional		$56.23	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $83.18 / $109.65	Facility		$25.12	$83.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $47.86	Professional		$22.91	$25.12	$47.86