Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $57.54	Professional		$26.92	$36.31	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $165.96	Professional		$58.88	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $77.62	Facility		$46.77	$57.54	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $83.18	Professional		$56.23	$61.66	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $75.86	Facility		$60.26	$72.44	$75.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $75.86	Professional		$69.18	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $93.33	Facility		$36.31	$58.88	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $81.28	Professional		$33.11	$72.44	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $295.12	Facility		$63.10	$107.15	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $85.11	Professional		$77.62	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $134.90	Facility		$36.31	$41.69	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $58.88	Professional		$27.54	$30.90	$58.88