Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $43.65	Professional		$20.89	$26.92	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $97.72 / $120.23	Professional		$38.02	$97.72	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $52.48	Facility		$29.51	$38.90	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $53.70	Professional		$36.31	$39.81	$53.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $51.29	Facility		$38.90	$47.86	$51.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $51.29	Professional		$44.67	$48.98	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $63.10	Facility		$24.55	$40.74	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $70.79	Professional		$24.55	$46.77	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $190.55	Facility		$40.74	$69.18	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $54.95	Professional		$50.12	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $74.13 / $97.72	Facility		$22.39	$74.13	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $42.66	Professional		$20.42	$22.39	$42.66