Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $36.78 / $176.90	Professional		$28.41	$36.78	$176.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Facility		$35.07	$35.07	$35.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $35.07	Professional		$25.60	$25.60	$35.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $118.60 / $154.69	Professional		$42.92	$118.60	$154.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $50.39 / $61.32	Facility		$30.72	$50.39	$61.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $57.64 / $64.39	Professional		$45.58	$57.64	$64.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $61.32 / $67.45	Facility		$48.65	$61.32	$67.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $61.32 / $63.52	Professional		$55.19	$61.32	$63.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $52.60 / $64.39	Facility		$35.07	$52.60	$64.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $53.69 / $67.45	Professional		$25.60	$53.69	$67.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $101.96 / $215.11	Facility		$51.08	$101.96	$215.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $67.45 / $67.45	Professional		$52.74	$67.45	$67.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $28.00 / $53.42	Professional		$26.64	$28.00	$53.42