Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $192.08 / $192.08	Facility		$192.08	$192.08	$192.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $63.36 / $276.66	Professional		$57.60	$63.36	$276.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $43.74	Professional		$43.74	$43.74	$43.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $203.13 / $264.92	Professional		$73.78	$203.13	$264.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $86.61 / $105.40	Facility		$30.89	$86.61	$105.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $99.08 / $110.67	Professional		$78.37	$99.08	$110.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $95.90 / $105.49	Facility		$83.65	$95.90	$105.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $105.40 / $105.40	Professional		$89.59	$105.40	$105.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $90.40 / $110.67	Facility		$30.89	$90.40	$110.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $92.29 / $115.94	Professional		$43.74	$92.29	$115.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $175.26 / $369.77	Facility		$87.81	$175.26	$369.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $115.94 / $115.94	Professional		$90.64	$115.94	$115.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $47.84 / $91.27	Professional		$45.53	$47.84	$91.27