Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $40.92 / $66.45	Professional		$27.40	$40.92	$66.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $55.73 / $55.73	Facility		$55.73	$55.73	$55.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $49.12 / $68.56	Professional		$33.74	$49.12	$68.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $70.03 / $99.82	Professional		$33.81	$70.03	$99.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $36.74 / $149.99	Facility		$24.26	$36.74	$149.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $80.58 / $121.27	Professional		$56.58	$80.58	$121.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $70.34 / $116.59	Facility		$57.75	$70.34	$116.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $85.26 / $105.48	Facility		$32.39	$85.26	$105.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $70.84 / $116.49	Professional		$41.39	$70.84	$116.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $71.58 / $112.14	Professional		$62.24	$71.58	$112.14
United Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $37.00 / $120.08	Professional		$23.60	$37.00	$120.08