Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $42.84 / $206.05	Professional		$22.87	$42.84	$206.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $39.15	Professional		$28.59	$28.59	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $113.63 / $148.22	Professional		$49.99	$113.63	$148.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $54.95 / $71.41	Facility		$40.17	$54.95	$71.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $67.84 / $74.98	Professional		$53.10	$67.84	$74.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $69.73 / $78.55	Facility		$56.69	$69.73	$78.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $71.41 / $78.55	Professional		$64.27	$71.41	$78.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $60.54 / $74.98	Facility		$36.40	$60.54	$74.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $62.53 / $78.55	Professional		$28.59	$62.53	$78.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $118.76 / $250.53	Facility		$59.50	$118.76	$250.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $78.55 / $78.55	Professional		$61.41	$78.55	$78.55
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $26.72 / $50.98	Professional		$25.15	$26.72	$50.98