Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $85.11	Professional		$40.74	$52.48	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $234.42	Professional		$72.44	$190.55	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $100.00	Facility		$57.54	$72.44	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $102.33	Professional		$70.79	$75.86	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $100.00	Facility		$75.86	$93.33	$100.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $100.00	Professional		$87.10	$95.50	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $120.23	Facility		$48.98	$79.43	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $102.33	Professional		$51.29	$83.18	$102.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $363.08	Facility		$79.43	$134.90	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $107.15	Professional		$97.72	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $144.54 / $190.55	Facility		$43.65	$144.54	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $83.18	Professional		$39.81	$43.65	$83.18