Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $46.62 / $221.80	Professional		$24.88	$46.62	$221.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $38.57	Professional		$28.16	$28.16	$38.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $123.57 / $161.18	Professional		$54.40	$123.57	$161.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $60.14 / $77.70	Facility		$46.62	$60.14	$77.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $73.05 / $81.59	Professional		$57.79	$73.05	$81.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $69.94 / $77.70	Facility		$61.69	$69.94	$77.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $77.70 / $77.70	Professional		$64.77	$77.70	$77.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $63.87 / $81.59	Facility		$38.57	$63.87	$81.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $68.05 / $85.48	Professional		$28.16	$68.05	$85.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $129.24 / $272.64	Facility		$64.75	$129.24	$272.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $85.48 / $85.48	Professional		$66.83	$85.48	$85.48
United Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $28.82 / $28.82	Facility		$28.82	$28.82	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $29.08 / $55.48	Professional		$27.37	$29.08	$55.48