Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $33.46 / $159.66	Professional		$30.42	$33.46	$159.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $33.22	Professional		$24.25	$24.25	$33.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $107.24 / $139.86	Professional		$38.74	$107.24	$139.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.81 / $45.47 / $55.34	Facility		$31.81	$45.47	$55.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $52.02 / $58.11	Professional		$41.14	$52.02	$58.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $55.34 / $60.87	Facility		$43.93	$55.34	$60.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $55.34 / $57.34	Professional		$55.34	$55.34	$57.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $47.46 / $58.11	Facility		$33.19	$47.46	$58.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $48.45 / $60.87	Professional		$24.25	$48.45	$60.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $92.02 / $194.12	Facility		$46.10	$92.02	$194.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $60.87 / $60.87	Professional		$47.59	$60.87	$60.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $25.27 / $48.44	Professional		$24.05	$25.27	$48.44