Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $126.94	Facility		$53.95	$53.95	$126.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $52.68 / $53.95	Professional		$52.68	$52.68	$53.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $107.90 / $107.90	Facility		$107.90	$107.90	$107.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $60.37 / $72.34	Professional		$27.11	$60.37	$72.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $75.33 / $113.26	Facility		$52.68	$75.33	$113.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $47.39 / $85.67	Professional		$47.39	$47.39	$85.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $79,999.20 / $79,999.20	Facility		$162.00	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $75.33 / $113.26	Facility		$55.16	$75.33	$113.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $66.11 / $72.25	Professional		$45.83	$66.11	$72.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.88 / $452.75 / $578.38	Facility		$199.88	$452.75	$578.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Professional		$52.89	$52.89	$52.89