Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $52.85 / $338.50	Professional		$39.59	$52.85	$338.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $65.90	Professional		$48.11	$48.11	$65.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $186.07 / $242.70	Professional		$61.59	$186.07	$242.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $72.31 / $90.59	Facility		$52.78	$72.31	$90.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $82.71 / $87.99	Professional		$65.43	$82.71	$87.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $85.93 / $96.79	Facility		$69.84	$85.93	$96.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $87.99 / $87.99	Professional		$74.79	$87.99	$87.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $77.05 / $92.39	Facility		$52.78	$77.05	$92.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $77.05 / $96.79	Professional		$48.11	$77.05	$96.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $146.32 / $308.70	Facility		$73.31	$146.32	$308.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $96.79 / $96.79	Professional		$75.67	$96.79	$96.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $43.90 / $83.75	Professional		$41.32	$43.90	$83.75