Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $46.77	Professional		$19.95	$28.18	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $128.82	Professional		$43.65	$102.33	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $48.98	Facility		$34.67	$42.66	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $61.66	Professional		$41.69	$45.71	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $61.66	Facility		$44.67	$54.95	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $61.66	Professional		$51.29	$56.23	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $67.61	Facility		$28.18	$46.77	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $53.70 / $79.43	Professional		$21.88	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $218.78	Facility		$46.77	$79.43	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $63.10	Professional		$57.54	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $52.48 / $104.71	Facility		$31.62	$52.48	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $45.71	Professional		$21.38	$23.99	$45.71