Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.64 / $137.34	Professional		$19.98	$23.64	$137.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.10	Professional		$16.86	$16.86	$23.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $75.29 / $98.19	Professional		$27.59	$75.29	$98.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $32.39 / $39.40	Facility		$23.64	$32.39	$39.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $37.04 / $41.38	Professional		$29.31	$37.04	$41.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $35.70 / $39.40	Facility		$31.29	$35.70	$39.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $37.44 / $39.40	Professional		$35.47	$37.44	$39.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $33.81 / $41.38	Facility		$21.46	$33.81	$41.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $34.51 / $43.35	Professional		$16.86	$34.51	$43.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $65.54 / $138.27	Facility		$32.84	$65.54	$138.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $43.35 / $43.35	Professional		$33.89	$43.35	$43.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $17.80 / $33.97	Professional		$16.77	$17.80	$33.97