Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $31.50 / $123.95	Professional		$12.61	$31.50	$123.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Facility		$25.81	$25.81	$25.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.36	Professional		$21.94	$21.94	$30.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $77.40 / $94.63	Professional		$30.07	$77.40	$94.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $37.64 / $43.16	Facility		$30.75	$37.64	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $38.65 / $42.96	Professional		$31.94	$38.65	$42.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $41.95 / $49.40	Facility		$38.53	$41.95	$49.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $42.96 / $42.96	Professional		$37.53	$42.96	$42.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $36.90 / $42.96	Facility		$25.81	$36.90	$42.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $37.61 / $47.26	Professional		$21.94	$37.61	$47.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $47.26 / $47.26	Professional		$36.95	$47.26	$47.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $18.22 / $34.76	Professional		$17.14	$18.22	$34.76