Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $48.10 / $191.41	Professional		$18.16	$48.10	$191.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.89	Professional		$33.88	$33.88	$46.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $119.31 / $145.85	Professional		$39.79	$119.31	$145.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $58.15 / $67.23	Facility		$47.48	$58.15	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $59.70 / $66.33	Professional		$49.80	$59.70	$66.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $64.78 / $76.28	Facility		$52.66	$64.78	$76.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $66.33 / $66.33	Professional		$57.97	$66.33	$66.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $58.09 / $72.95	Facility		$39.86	$58.09	$72.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.09 / $72.95	Professional		$33.88	$58.09	$72.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $72.95 / $72.95	Professional		$57.04	$72.95	$72.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $28.13 / $53.92	Professional		$26.48	$28.13	$53.92