Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $51.29	Professional		$25.70	$33.88	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $125.89 / $154.88	Professional		$46.77	$125.89	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $66.07	Facility		$37.15	$46.77	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $66.07	Professional		$45.71	$48.98	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $61.66	Facility		$48.98	$57.54	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $61.66	Professional		$54.95	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $52.48 / $77.62	Facility		$31.62	$52.48	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $58.88 / $79.43	Professional		$26.30	$58.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $234.42	Facility		$51.29	$87.10	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $125.89	Facility		$38.02	$72.44	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $54.95	Professional		$25.70	$28.84	$54.95