Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $42.54 / $207.44	Professional		$33.97	$42.54	$207.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $40.77	Professional		$29.76	$29.76	$40.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $132.10 / $172.29	Professional		$49.64	$132.10	$172.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $58.28 / $70.92	Facility		$42.54	$58.28	$70.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $66.66 / $74.47	Professional		$52.74	$66.66	$74.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $70.92 / $80.09	Facility		$56.30	$70.92	$80.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $70.92 / $80.09	Professional		$63.83	$70.92	$80.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $60.83 / $74.47	Facility		$37.90	$60.83	$74.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $62.10 / $78.01	Professional		$29.76	$62.10	$78.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $117.94 / $248.81	Facility		$59.09	$117.94	$248.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $78.01 / $78.01	Professional		$60.99	$78.01	$78.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $31.10 / $59.34	Professional		$29.60	$31.10	$59.34