Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $69.18	Professional		$32.36	$43.65	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
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 $64.57 / $158.49 / $194.98	Professional		$64.57	$158.49	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $85.11	Facility		$51.29	$63.10	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $91.20	Professional		$61.66	$67.61	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $83.18	Facility		$66.07	$74.13	$83.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $83.18	Professional		$74.13	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $102.33	Facility		$38.90	$69.18	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $89.13	Professional		$33.11	$79.43	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $323.59	Facility		$69.18	$117.49	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $93.33	Professional		$85.11	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $158.49	Facility		$47.86	$58.88	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $69.18	Professional		$33.11	$36.31	$69.18