Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $32.57 / $123.29	Professional		$13.50	$32.57	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $28.50	Professional		$20.81	$20.81	$28.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $45.26 / $105.92	Professional		$33.95	$45.26	$105.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $38.40 / $45.26	Facility		$27.54	$38.40	$45.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $40.72 / $45.26	Professional		$31.86	$40.72	$45.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $44.25 / $49.79	Facility		$34.63	$44.25	$49.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $45.26 / $45.26	Professional		$34.63	$45.26	$45.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $38.40 / $45.26	Facility		$23.75	$38.40	$45.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $39.57 / $49.79	Professional		$20.81	$39.57	$49.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $71.06 / $158.54	Facility		$37.01	$71.06	$158.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $49.79 / $49.79	Professional		$38.92	$49.79	$49.79
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.19 / $38.75	Professional		$18.34	$19.19	$38.75