Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $27.40 / $139.56	Professional		$14.20	$27.40	$139.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Facility		$29.06	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $36.34	Professional		$24.70	$24.70	$36.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $87.36 / $106.78	Professional		$29.03	$87.36	$106.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $42.09 / $48.97	Facility		$33.25	$42.09	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $43.54 / $48.38	Professional		$35.96	$43.54	$48.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $47.25 / $53.22	Facility		$38.39	$47.25	$53.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $48.38 / $50.32	Professional		$41.12	$48.38	$50.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $41.23 / $48.38	Facility		$29.06	$41.23	$48.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $42.36 / $53.22	Professional		$24.70	$42.36	$53.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $53.22 / $53.22	Professional		$41.61	$53.22	$53.22
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $20.51 / $39.14	Professional		$19.30	$20.51	$39.14