Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $169.82	Professional		$38.02	$75.86	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $117.49	Professional		$41.69	$52.48	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $165.96	Professional		$57.54	$114.82	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $162.18	Facility		$47.86	$87.10	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $199.53	Professional		$77.62	$131.83	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $151.36	Facility		$100.00	$120.23	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $162.18	Facility		$47.86	$95.50	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $181.97	Professional		$51.29	$117.49	$181.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $194.98	Professional		$72.44	$123.03	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $190.55	Professional		$39.81	$64.57	$190.55