Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $117.49	Professional		$32.36	$39.81	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $141.25 / $173.78	Professional		$53.70	$141.25	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $77.62	Facility		$41.69	$52.48	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $77.62	Professional		$51.29	$54.95	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $69.18	Facility		$54.95	$66.07	$69.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $89.13	Facility		$34.67	$60.26	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $79.43	Professional		$33.88	$66.07	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $269.15	Facility		$57.54	$97.72	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Professional		$70.79	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $43.65 / $141.25	Facility		$32.36	$43.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $61.66	Professional		$29.51	$32.36	$61.66