Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $35.90 / $172.67	Professional		$26.31	$35.90	$172.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Facility		$34.22	$34.22	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $34.22	Professional		$24.98	$24.98	$34.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $115.77 / $151.00	Professional		$41.89	$115.77	$151.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $49.18 / $59.84	Facility		$29.99	$49.18	$59.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $56.25 / $62.83	Professional		$44.51	$56.25	$62.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $59.84 / $65.81	Facility		$47.51	$59.84	$65.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $59.84 / $63.43	Professional		$53.86	$59.84	$63.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $51.34 / $62.83	Facility		$34.22	$51.34	$62.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $52.40 / $65.81	Professional		$24.98	$52.40	$65.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $99.52 / $209.95	Facility		$49.86	$99.52	$209.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $65.81 / $65.81	Professional		$51.46	$65.81	$65.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $27.32 / $52.13	Professional		$26.00	$27.32	$52.13