Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $67.61	Professional		$33.11	$40.74	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $186.21	Professional		$58.88	$151.36	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $79.43	Facility		$45.71	$57.54	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $81.28	Professional		$56.23	$60.26	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $79.43	Facility		$60.26	$74.13	$79.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $79.43	Professional		$69.18	$75.86	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $97.72	Facility		$41.69	$63.10	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $81.28	Professional		$31.62	$72.44	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $295.12	Facility		$63.10	$107.15	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $85.11	Professional		$77.62	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $151.36	Facility		$34.67	$114.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $66.07	Professional		$31.62	$34.67	$66.07