Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $47.65 / $189.64	Professional		$18.00	$47.65	$189.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $46.45	Professional		$33.56	$33.56	$46.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $118.60 / $144.97	Professional		$39.44	$118.60	$144.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $57.60 / $66.40	Facility		$47.05	$57.60	$66.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $60.98 / $65.73	Professional		$49.35	$60.98	$65.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $64.19 / $72.30	Facility		$52.18	$64.19	$72.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $65.73 / $69.02	Professional		$57.43	$65.73	$69.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $57.55 / $72.30	Facility		$39.47	$57.55	$72.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $57.55 / $72.30	Professional		$33.56	$57.55	$72.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $72.30 / $72.30	Professional		$56.53	$72.30	$72.30
United Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $27.87 / $54.56	Professional		$26.23	$27.87	$54.56