Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $33.13 / $284.68	Professional		$29.21	$33.13	$284.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $49.76	Professional		$42.10	$42.10	$49.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $58.94 / $76.88	Professional		$19.57	$58.94	$76.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $35.34 / $92.81	Facility		$27.95	$35.34	$92.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $70.54 / $77.84	Professional		$26.55	$70.54	$77.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $72.95 / $81.06	Facility		$27.95	$72.95	$81.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $41.65 / $82.91	Professional		$27.95	$41.65	$82.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $40.35 / $86.48	Facility		$27.95	$40.35	$86.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $43.83 / $82.04	Professional		$32.56	$43.83	$82.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $139.49 / $164.08	Facility		$37.26	$139.49	$164.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $30.75 / $84.71	Professional		$24.32	$30.75	$84.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $45.05 / $68.94	Professional		$27.13	$45.05	$68.94