Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $91.20	Professional		$28.84	$47.86	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $72.44	Professional		$20.89	$36.31	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $144.54	Professional		$44.67	$81.28	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $58.88 / $125.89	Facility		$27.54	$58.88	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $120.23	Professional		$43.65	$79.43	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $109.65	Facility		$70.79	$102.33	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $112.20	Facility		$35.48	$58.88	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $74.13 / $147.91	Professional		$28.84	$74.13	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Facility		$141.25	$141.25	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $134.90	Professional		$60.26	$100.00	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $109.65	Professional		$22.91	$38.02	$109.65