Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $52.48	Professional		$23.99	$30.20	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $107.15 / $134.90	Professional		$38.02	$107.15	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $57.54	Facility		$30.20	$38.90	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $54.95	Professional		$37.15	$40.74	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $50.12	Facility		$39.81	$48.98	$50.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $50.12	Professional		$44.67	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $64.57	Facility		$28.84	$43.65	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $72.44	Professional		$25.12	$47.86	$72.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $190.55	Facility		$41.69	$70.79	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $56.23	Professional		$51.29	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.88 / $109.65	Facility		$33.11	$33.88	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $47.86	Professional		$22.39	$25.12	$47.86