Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $80.56 / $159.19	Facility		$34.29	$80.56	$159.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $65.00 / $244.90	Professional		$39.67	$65.00	$244.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $40.92	Professional		$33.36	$33.36	$40.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $139.91 / $182.49	Professional		$61.64	$139.91	$182.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $67.62 / $88.06	Facility		$50.33	$67.62	$88.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $81.70 / $90.00	Professional		$65.48	$81.70	$90.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $76.65 / $88.06	Facility		$64.50	$76.65	$88.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $88.06 / $88.06	Professional		$66.05	$88.06	$88.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $75.08 / $92.46	Facility		$45.70	$75.08	$92.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $77.11 / $96.87	Professional		$33.36	$77.11	$96.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $146.44 / $308.95	Facility		$73.37	$146.44	$308.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $96.87 / $96.87	Professional		$75.73	$96.87	$96.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $32.95 / $63.16	Professional		$31.02	$32.95	$63.16