Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $58.88	Professional		$30.90	$38.90	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $144.54 / $177.83	Professional		$50.12	$144.54	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $74.13	Facility		$39.81	$50.12	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $72.44	Professional		$48.98	$53.70	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $69.18	Facility		$52.48	$64.57	$69.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $69.18	Professional		$60.26	$66.07	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $89.13	Facility		$34.67	$57.54	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $79.43	Professional		$40.74	$63.10	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $251.19	Facility		$54.95	$93.33	$251.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $74.13	Professional		$67.61	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $107.15 / $144.54	Facility		$33.11	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $63.10	Professional		$30.20	$33.11	$63.10