Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $43.22 / $55.11	Professional		$29.94	$43.22	$55.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $112.26 / $112.26	Professional		$47.85	$112.26	$112.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $55.82 / $64.63	Professional		$45.68	$55.82	$64.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $55.11 / $78.81	Facility		$31.27	$55.11	$78.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $39.56 / $54.87	Facility		$28.25	$39.56	$54.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $55.11 / $100.58	Facility		$30.05	$55.11	$100.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $62.97 / $112.26	Professional		$49.39	$62.97	$112.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $116.04 / $151.21	Facility		$92.64	$116.04	$151.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $68.39 / $91.91	Professional		$52.53	$68.39	$91.91
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $95.23 / $134.05	Professional		$65.88	$95.23	$134.05