Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $46.26 / $182.07	Professional		$18.52	$46.26	$182.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $44.60	Professional		$32.22	$32.22	$44.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $113.63 / $138.91	Professional		$44.17	$113.63	$138.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $55.31 / $63.91	Facility		$45.16	$55.31	$63.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $56.79 / $63.10	Professional		$47.37	$56.79	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $61.62 / $72.56	Facility		$50.09	$61.62	$72.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $63.10 / $63.10	Professional		$55.14	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $55.25 / $69.41	Facility		$37.90	$55.25	$69.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $55.25 / $69.41	Professional		$32.22	$55.25	$69.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $69.41 / $69.41	Professional		$54.27	$69.41	$69.41
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $26.76 / $51.05	Professional		$25.19	$26.76	$51.05