Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $47.46 / $88.26	Professional		$36.95	$47.46	$88.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.08 / $73.08 / $73.08	Facility		$73.08	$73.08	$73.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $50.81 / $76.43	Professional		$25.35	$50.81	$76.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $100.43 / $137.16	Professional		$50.04	$100.43	$137.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $52.82 / $119.52	Facility		$36.95	$52.82	$119.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $95.91 / $166.56	Professional		$74.18	$95.91	$166.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $103.65 / $105.86	Facility		$62.19	$103.65	$105.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $107.64 / $139.58	Facility		$41.58	$107.64	$139.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $99.92 / $138.88	Professional		$54.59	$99.92	$138.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $610.29 / $613.76	Facility		$610.29	$610.29	$613.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $98.91 / $161.31	Professional		$88.20	$98.91	$161.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $55.86 / $165.47	Professional		$33.35	$55.86	$165.47