Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $56.23	Professional		$26.92	$33.88	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $154.88	Professional		$47.86	$123.03	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $66.07	Facility		$38.02	$47.86	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $67.61	Professional		$46.77	$50.12	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $64.57	Facility		$50.12	$61.66	$64.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $64.57	Professional		$56.23	$63.10	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $79.43	Facility		$33.88	$51.29	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $79.43	Professional		$28.18	$60.26	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $239.88	Facility		$52.48	$89.13	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $70.79	Professional		$64.57	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $93.33 / $125.89	Facility		$28.18	$93.33	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $54.95	Professional		$25.70	$28.84	$54.95