Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $44.69 / $65.27	Professional		$28.92	$44.69	$65.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $54.15 / $54.15	Facility		$54.15	$54.15	$54.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $38.77 / $69.63	Professional		$20.81	$38.77	$69.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $88.16 / $144.53	Professional		$51.85	$88.16	$144.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $59.52 / $126.16	Facility		$27.51	$59.52	$126.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $86.99 / $169.77	Professional		$54.98	$86.99	$169.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $95.68 / $110.55	Facility		$59.50	$95.68	$110.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $77.95 / $137.07	Facility		$35.40	$77.95	$137.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $91.52 / $143.30	Professional		$52.22	$91.52	$143.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.51 / $138.51 / $139.30	Facility		$138.51	$138.51	$139.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $100.70 / $158.22	Professional		$65.52	$100.70	$158.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $54.50 / $176.01	Professional		$32.70	$54.50	$176.01