Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $44.85 / $91.87	Professional		$30.10	$44.85	$91.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $223.86 / $304.19	Facility		$47.53	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $160.38 / $238.67	Professional		$88.75	$160.38	$238.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $420.76 / $480.87	Professional		$249.49	$420.76	$480.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $112.49 / $372.68	Facility		$64.66	$112.49	$372.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $90.04	Professional		$31.02	$31.02	$90.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $136.01 / $136.01	Facility		$81.61	$136.01	$136.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $112.49 / $336.36	Facility		$64.66	$112.49	$336.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $169.38 / $238.67	Professional		$101.76	$169.38	$238.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $166.89 / $248.61	Professional		$121.50	$166.89	$248.61