Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $29.70 / $190.26	Professional		$22.25	$29.70	$190.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $30.91	Professional		$22.56	$22.56	$30.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $105.11 / $137.08	Professional		$34.61	$105.11	$137.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $42.15 / $50.49	Facility		$29.67	$42.15	$50.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $46.99 / $51.93	Professional		$36.77	$46.99	$51.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $48.30 / $54.41	Facility		$39.26	$48.30	$54.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $49.46 / $54.41	Professional		$42.04	$49.46	$54.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $43.31 / $51.93	Facility		$29.67	$43.31	$51.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $43.31 / $54.41	Professional		$22.56	$43.31	$54.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $82.24 / $173.53	Facility		$41.21	$82.24	$173.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $54.41 / $54.41	Professional		$42.54	$54.41	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $24.67 / $47.08	Professional		$23.48	$24.67	$47.08