Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $54.95	Professional		$25.70	$33.88	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $151.36	Professional		$46.77	$120.23	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $64.57	Facility		$37.15	$46.77	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $66.07	Professional		$44.67	$48.98	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $63.10	Facility		$48.98	$60.26	$63.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $63.10	Professional		$54.95	$61.66	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.12 / $77.62	Facility		$30.90	$50.12	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $79.43	Professional		$25.70	$58.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $234.42	Facility		$51.29	$87.10	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $91.20 / $123.03	Facility		$27.54	$91.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $53.70	Professional		$25.12	$28.18	$53.70