Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $69.26 / $360.85	Professional		$44.80	$69.26	$360.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $71.68	Professional		$52.33	$52.33	$71.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $198.86 / $259.37	Professional		$80.83	$198.86	$259.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $94.89 / $115.47	Facility		$69.26	$94.89	$115.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $108.54 / $121.24	Professional		$85.84	$108.54	$121.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $103.18 / $115.47	Facility		$91.60	$103.18	$115.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $115.47 / $115.47	Professional		$93.80	$115.47	$115.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $98.42 / $121.24	Facility		$69.26	$98.42	$121.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $101.10 / $127.02	Professional		$52.33	$101.10	$127.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.19 / $192.00 / $405.07	Facility		$96.19	$192.00	$405.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $127.02 / $127.02	Professional		$99.30	$127.02	$127.02
United Facility/Professional Facility Modifier Low / Median / High Price $150.08 / $150.08 / $200.11	Facility		$150.08	$150.08	$200.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $46.79 / $89.28	Professional		$44.53	$46.79	$89.28