Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $49.55 / $49.55	Facility		$49.55	$49.55	$49.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $30.13 / $168.57	Professional		$22.54	$30.13	$168.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.00	Professional		$25.55	$25.55	$35.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.04 / $121.35	Professional		$37.15	$93.04	$121.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $41.28 / $49.53	Facility		$30.13	$41.28	$49.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $46.56 / $52.01	Professional		$36.84	$46.56	$52.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $45.16 / $49.68	Facility		$39.34	$45.16	$49.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $49.53 / $49.68	Professional		$44.58	$49.53	$49.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $37.25 / $54.48	Facility		$30.13	$37.25	$54.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $43.37 / $54.48	Professional		$25.55	$43.37	$54.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.27 / $82.38 / $173.77	Facility		$41.27	$82.38	$173.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $54.48 / $54.48	Professional		$42.60	$54.48	$54.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.86 / $41.91	Professional		$20.89	$21.86	$41.91