Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $51.29 / $266.95	Professional		$45.58	$51.29	$266.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $61.62	Professional		$44.98	$44.98	$61.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $172.58 / $225.10	Professional		$59.85	$172.58	$225.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.27 / $85.50	Facility		$51.29	$70.27	$85.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $80.37 / $89.78	Professional		$63.59	$80.37	$89.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $81.39 / $89.53	Facility		$67.89	$81.39	$89.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $85.50 / $94.05	Professional		$76.95	$85.50	$94.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $73.34 / $89.78	Facility		$51.29	$73.34	$89.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $74.87 / $94.05	Professional		$44.98	$74.87	$94.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $142.19 / $299.97	Facility		$71.23	$142.19	$299.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $94.05 / $94.05	Professional		$73.53	$94.05	$94.05
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $40.61 / $77.47	Professional		$38.22	$40.61	$77.47