Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $41.47 / $163.19	Professional		$16.60	$41.47	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $39.97	Professional		$28.88	$28.88	$39.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $101.57 / $124.15	Professional		$39.59	$101.57	$124.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $49.57 / $57.27	Facility		$40.47	$49.57	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $50.90 / $56.56	Professional		$42.46	$50.90	$56.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $55.23 / $65.04	Facility		$50.71	$55.23	$65.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $56.56 / $62.22	Professional		$50.71	$56.56	$62.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $48.58 / $56.56	Facility		$33.97	$48.58	$56.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $49.52 / $62.22	Professional		$28.88	$49.52	$62.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $62.22 / $62.22	Professional		$48.64	$62.22	$62.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $23.99 / $45.76	Professional		$22.58	$23.99	$45.76