Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $52.86 / $65.02	Professional		$30.12	$52.86	$65.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $95.42 / $179.31	Professional		$53.29	$95.42	$179.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $146.88 / $166.38	Professional		$125.91	$146.88	$166.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $66.80 / $130.09	Facility		$41.98	$66.80	$130.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $106.06 / $106.06	Professional		$106.06	$106.06	$106.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $129.79 / $133.33	Facility		$87.06	$129.79	$133.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $66.80 / $130.19	Facility		$41.98	$66.80	$130.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $111.00 / $180.27	Professional		$62.04	$111.00	$180.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $179.75 / $260.05	Facility		$113.53	$179.75	$260.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $81.34 / $181.78	Professional		$71.23	$81.34	$181.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $66.77 / $162.61	Professional		$53.90	$66.77	$162.61