Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $51.15 / $201.26	Professional		$20.47	$51.15	$201.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Facility		$37.70	$37.70	$37.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $37.70	Professional		$28.46	$32.04	$37.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $125.70 / $153.66	Professional		$48.83	$125.70	$153.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $61.14 / $70.55	Facility		$49.91	$61.14	$70.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $62.78 / $69.75	Professional		$52.36	$62.78	$69.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $68.12 / $80.20	Facility		$55.36	$68.12	$80.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $69.75 / $76.73	Professional		$60.95	$69.75	$76.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $61.08 / $70.08	Facility		$37.70	$61.08	$70.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $61.08 / $74.59	Professional		$28.46	$61.08	$74.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $76.73 / $76.73	Professional		$59.99	$76.73	$76.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $29.58 / $56.43	Professional		$27.84	$29.58	$56.43