Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $52.44 / $250.22	Professional		$47.67	$52.44	$250.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $56.02	Professional		$40.89	$40.89	$56.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $168.33 / $219.54	Professional		$60.70	$168.33	$219.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $71.27 / $86.72	Facility		$52.02	$71.27	$86.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $82.38 / $91.06	Professional		$64.48	$82.38	$91.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $86.72 / $95.39	Facility		$68.84	$86.72	$95.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $86.72 / $89.86	Professional		$78.05	$86.72	$89.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $74.39 / $91.06	Facility		$52.02	$74.39	$91.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $75.93 / $95.39	Professional		$40.89	$75.93	$95.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $144.22 / $304.22	Facility		$72.25	$144.22	$304.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $95.39 / $95.39	Professional		$74.58	$95.39	$95.39
United Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $39.60 / $75.56	Professional		$37.84	$39.60	$75.56