Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $69.45 / $100.73	Professional		$55.06	$69.45	$100.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $84.97	Facility		$84.97	$84.97	$84.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $84.97	Professional		$62.03	$62.03	$84.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $143.47 / $187.11	Professional		$47.80	$143.47	$187.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $68.28 / $112.57	Facility		$51.21	$68.28	$112.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $68.28 / $101.46	Professional		$64.18	$68.28	$101.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $69.56 / $105.95	Facility		$68.28	$69.56	$105.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $71.69 / $101.64	Facility		$55.06	$71.69	$101.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $80.28 / $106.80	Professional		$62.03	$80.28	$106.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.27 / $181.59 / $275.55	Facility		$70.27	$181.59	$275.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $75.11 / $110.72	Professional		$59.40	$75.11	$110.72
United Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $55.35 / $86.84	Professional		$52.10	$55.35	$86.84