Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $75.86	Professional		$34.67	$45.71	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $208.93	Professional		$60.26	$169.82	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $91.20	Facility		$47.86	$58.88	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $85.11	Professional		$57.54	$61.66	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $104.71	Facility		$61.66	$75.86	$104.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $104.71	Professional		$70.79	$77.62	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $107.15	Facility		$45.71	$66.07	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $83.18	Professional		$35.48	$74.13	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $302.00	Facility		$64.57	$109.65	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $87.10	Professional		$79.43	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $169.82	Facility		$19.95	$52.48	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $74.13	Professional		$35.48	$38.90	$74.13