Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $52.02 / $157.41	Professional		$47.67	$52.02	$157.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
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 $43.46 / $71.27 / $86.72	Facility		$43.46	$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 $49.61 / $74.39 / $91.06	Facility		$49.61	$74.39	$91.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $75.93 / $95.39	Professional		$36.22	$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 $37.28 / $39.60 / $75.56	Professional		$37.28	$39.60	$75.56