Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $152.51 / $152.51	Facility		$152.51	$152.51	$152.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $80.34 / $89.21	Professional		$80.34	$80.34	$89.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $41.10	Facility		$30.00	$30.00	$41.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $98.04 / $17,728.12	Professional		$65.00	$98.04	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $67.50 / $81.73	Facility		$50.00	$67.50	$81.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $31.50 / $95.60	Facility		$30.00	$31.50	$95.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $75.00	Professional		$45.00	$45.00	$75.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $77.47 / $173.65	Professional		$73.59	$77.47	$173.65
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00