Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $39.79 / $254.87	Professional		$29.81	$39.79	$254.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $55.83	Professional		$40.76	$40.76	$55.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $140.62 / $183.40	Professional		$46.38	$140.62	$183.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $56.47 / $68.31	Facility		$39.74	$56.47	$68.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $62.28 / $69.56	Professional		$49.26	$62.28	$69.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.59 / $66.25 / $72.88	Facility		$52.59	$66.25	$72.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $66.25 / $68.88	Professional		$59.63	$66.25	$68.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $58.01 / $69.56	Facility		$39.74	$58.01	$69.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $58.01 / $72.88	Professional		$40.76	$58.01	$72.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $110.18 / $232.42	Facility		$55.20	$110.18	$232.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $72.88 / $72.88	Professional		$56.98	$72.88	$72.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $33.04 / $63.06	Professional		$31.11	$33.04	$63.06