Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $190.55	Facility		$63.10	$63.10	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $134.90	Professional		$46.77	$61.66	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $208.93 / $257.04	Professional		$81.28	$208.93	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $107.15	Facility		$54.95	$79.43	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $114.82	Professional		$72.44	$83.18	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $104.71	Facility		$83.18	$95.50	$104.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Professional		$95.50	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $125.89	Facility		$33.11	$81.28	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $109.65	Professional		$43.65	$93.33	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $407.38	Facility		$87.10	$147.91	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $117.49	Professional		$107.15	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $154.88 / $208.93	Facility		$47.86	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $91.20	Professional		$43.65	$47.86	$91.20