Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $44.17 / $216.60	Professional		$40.14	$44.17	$216.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $52.95	Professional		$38.65	$38.65	$52.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $151.97 / $198.22	Professional		$51.55	$151.97	$198.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $60.51 / $73.64	Facility		$44.17	$60.51	$73.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $69.22 / $77.31	Professional		$54.75	$69.22	$77.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.45 / $71.67 / $78.84	Facility		$58.45	$71.67	$78.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $73.64 / $75.11	Professional		$62.59	$73.64	$75.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $63.24 / $77.31	Facility		$44.17	$63.24	$77.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $64.48 / $81.00	Professional		$38.65	$64.48	$81.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $122.46 / $258.35	Facility		$61.35	$122.46	$258.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $81.00 / $81.00	Professional		$63.33	$81.00	$81.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $35.75 / $68.20	Professional		$34.15	$35.75	$68.20