Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $64.57	Professional		$33.11	$40.74	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $186.21	Professional		$58.88	$151.36	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $79.43	Facility		$46.77	$57.54	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $83.18	Professional		$56.23	$61.66	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $79.43	Facility		$74.13	$75.86	$79.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $97.72	Facility		$40.74	$63.10	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $81.28	Professional		$52.48	$72.44	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $295.12	Facility		$63.10	$107.15	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $85.11	Professional		$77.62	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $114.82 / $151.36	Facility		$45.71	$114.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $66.07	Professional		$31.62	$34.67	$66.07