Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $26.92 / $129.50	Professional		$19.73	$26.92	$129.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $27.10	Professional		$19.78	$19.78	$27.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $86.65 / $113.02	Professional		$31.42	$86.65	$113.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $36.88 / $44.88	Facility		$22.48	$36.88	$44.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $42.19 / $47.12	Professional		$33.36	$42.19	$47.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $44.88 / $49.37	Facility		$35.63	$44.88	$49.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $44.88 / $49.37	Professional		$40.39	$44.88	$49.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.50 / $47.12	Facility		$26.92	$38.50	$47.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $39.29 / $49.37	Professional		$19.78	$39.29	$49.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $74.64 / $157.46	Facility		$37.39	$74.64	$157.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $49.37 / $49.37	Professional		$38.60	$49.37	$49.37
United Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $20.49 / $40.11	Professional		$19.29	$20.49	$40.11