Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $48.70 / $63.06	Professional		$41.81	$48.70	$63.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $109.98 / $130.80	Professional		$93.20	$109.98	$130.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $69.37 / $130.05	Facility		$49.44	$69.37	$130.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $97.34 / $167.64	Professional		$84.33	$97.34	$167.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $102.03 / $106.53	Facility		$73.79	$102.03	$106.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $82.37 / $136.44	Facility		$50.83	$82.37	$136.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $110.60 / $145.09	Professional		$47.02	$110.60	$145.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $118.50 / $150.65	Professional		$86.10	$118.50	$150.65
United Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $108.50 / $160.21	Professional		$75.95	$108.50	$160.21