Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $60.98 / $293.32	Professional		$34.57	$60.98	$293.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $54.11	Professional		$39.50	$39.50	$54.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $161.22 / $210.27	Professional		$71.16	$161.22	$210.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $77.95 / $101.66	Facility		$55.48	$77.95	$101.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $95.56 / $101.66	Professional		$75.59	$95.56	$101.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $99.28 / $111.83	Facility		$74.45	$99.28	$111.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $80.76 / $80.76	Professional		$80.76	$80.76	$80.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $83.54 / $106.74	Facility		$50.93	$83.54	$106.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $89.02 / $111.83	Professional		$39.50	$89.02	$111.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $169.06 / $356.67	Facility		$84.70	$169.06	$356.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $111.83 / $111.83	Professional		$87.43	$111.83	$111.83
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $38.04 / $72.56	Professional		$35.81	$38.04	$72.56