Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $42.56 / $197.03	Professional		$20.04	$42.56	$197.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $37.51	Professional		$34.86	$34.86	$37.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $122.88 / $150.19	Professional		$40.63	$122.88	$150.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $49.85 / $61.73	Facility		$41.54	$49.85	$61.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $46.24 / $60.94	Professional		$42.72	$46.24	$60.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $58.04 / $66.75	Facility		$52.24	$58.04	$66.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $49.68 / $58.31	Facility		$37.13	$49.68	$58.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $50.82 / $65.47	Professional		$34.86	$50.82	$65.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $63.84 / $63.84	Professional		$52.62	$63.84	$63.84
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $28.96 / $55.24	Professional		$27.25	$28.96	$55.24