Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $48.39 / $232.77	Professional		$27.22	$48.39	$232.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $48.99	Professional		$35.76	$35.76	$48.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $127.84 / $166.73	Professional		$56.47	$127.84	$166.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $62.37 / $80.67	Facility		$45.38	$62.37	$80.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $75.83 / $84.70	Professional		$59.98	$75.83	$84.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $72.59 / $80.67	Facility		$64.04	$72.59	$80.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $73.06 / $80.67	Professional		$66.43	$73.06	$80.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $68.76 / $84.70	Facility		$44.65	$68.76	$84.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $70.64 / $88.74	Professional		$35.76	$70.64	$88.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $134.16 / $283.02	Facility		$67.20	$134.16	$283.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $88.74 / $88.74	Professional		$69.38	$88.74	$88.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $30.19 / $57.86	Professional		$28.41	$30.19	$57.86