Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $25.12 / $120.83	Professional		$18.42	$25.12	$120.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $26.67	Professional		$19.47	$19.47	$26.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $80.97 / $105.59	Professional		$29.32	$80.97	$105.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $34.40 / $41.88	Facility		$20.98	$34.40	$41.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $39.79 / $43.97	Professional		$31.13	$39.79	$43.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $41.88 / $46.07	Facility		$33.24	$41.88	$46.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $41.88 / $47.70	Professional		$35.60	$41.88	$47.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.92 / $43.97	Facility		$25.12	$35.92	$43.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $36.67 / $46.07	Professional		$19.47	$36.67	$46.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $69.64 / $146.91	Facility		$34.89	$69.64	$146.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $46.07 / $46.07	Professional		$36.02	$46.07	$46.07
United Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.12 / $36.47	Professional		$18.00	$19.12	$36.47