Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $38.24 / $150.49	Professional		$15.31	$38.24	$150.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $34.45	Facility		$34.45	$34.45	$34.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $34.45	Professional		$21.28	$29.28	$34.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $93.75 / $114.61	Professional		$36.51	$93.75	$114.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $45.71 / $52.39	Facility		$37.33	$45.71	$52.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $46.94 / $52.16	Professional		$38.78	$46.94	$52.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $50.94 / $59.98	Facility		$46.76	$50.94	$59.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $52.16 / $52.16	Professional		$45.57	$52.16	$52.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $44.80 / $52.16	Facility		$31.36	$44.80	$52.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $45.68 / $55.78	Professional		$21.28	$45.68	$55.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $57.38 / $57.38	Professional		$44.86	$57.38	$57.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $22.12 / $42.39	Professional		$21.04	$22.12	$42.39