Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $36.11 / $264.45	Professional		$27.36	$36.11	$264.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $52.17	Professional		$44.34	$44.34	$52.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $54.69 / $71.31	Professional		$18.18	$54.69	$71.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $27.36 / $80.33	Facility		$19.48	$27.36	$80.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $25.97 / $71.73	Professional		$24.41	$25.97	$71.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $38.70 / $75.31	Facility		$25.97	$38.70	$75.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $27.36 / $68.75	Facility		$25.97	$27.36	$68.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $40.72 / $76.20	Professional		$30.25	$40.72	$76.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $129.58 / $152.41	Facility		$34.61	$129.58	$152.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $28.57 / $78.70	Professional		$22.59	$28.57	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $41.86 / $65.68	Professional		$27.91	$41.86	$65.68