Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $33.22 / $172.11	Professional		$21.00	$33.22	$172.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $29.64	Professional		$21.64	$21.64	$29.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $94.46 / $123.19	Professional		$38.77	$94.46	$123.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $45.51 / $55.38	Facility		$33.22	$45.51	$55.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $52.06 / $58.15	Professional		$41.17	$52.06	$58.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $49.84 / $55.38	Facility		$43.95	$49.84	$55.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $49.84 / $55.38	Professional		$48.38	$49.84	$55.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $47.20 / $58.15	Facility		$27.74	$47.20	$58.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $48.49 / $60.92	Professional		$21.64	$48.49	$60.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $92.10 / $194.28	Facility		$46.14	$92.10	$194.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $60.92 / $60.92	Professional		$47.63	$60.92	$60.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $22.32 / $42.78	Professional		$21.01	$22.32	$42.78