Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $60.00 / $236.00	Professional		$41.00	$60.00	$236.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $58.00	Professional		$42.34	$42.34	$58.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $190.33 / $248.25	Professional		$77.19	$190.33	$248.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.43 / $90.63 / $110.27	Facility		$65.43	$90.63	$110.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $103.65 / $115.78	Professional		$81.99	$103.65	$115.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $99.24 / $121.30	Facility		$87.54	$99.24	$121.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $110.27 / $132.32	Professional		$89.93	$110.27	$132.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $94.01 / $115.78	Facility		$55.24	$94.01	$115.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $96.56 / $124.38	Professional		$42.34	$96.56	$124.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $183.38 / $386.88	Facility		$91.87	$183.38	$386.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $121.30 / $121.30	Professional		$94.83	$121.30	$121.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $44.87 / $85.60	Professional		$42.23	$44.87	$85.60