Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $104.71	Professional		$48.98	$61.66	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.87 / $275.42	Professional		$87.10	$223.87	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $117.49	Facility		$67.61	$87.10	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $120.23	Professional		$83.18	$89.13	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $117.49	Facility		$89.13	$109.65	$117.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $117.49	Professional		$102.33	$112.20	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $144.54	Facility		$61.66	$93.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $100.00 / $120.23	Professional		$46.77	$100.00	$120.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $436.52	Facility		$93.33	$158.49	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $125.89	Professional		$114.82	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $169.82 / $223.87	Facility		$51.29	$169.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $97.72	Professional		$46.77	$51.29	$97.72