Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $34.96 / $168.16	Professional		$25.66	$34.96	$168.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $43.99	Professional		$32.11	$32.11	$43.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $112.92 / $147.29	Professional		$40.79	$112.92	$147.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $47.90 / $58.29	Facility		$34.96	$47.90	$58.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $55.38 / $61.20	Professional		$43.35	$55.38	$61.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $58.29 / $64.12	Facility		$46.28	$58.29	$64.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $58.29 / $60.43	Professional		$46.28	$58.29	$60.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $49.99 / $61.20	Facility		$34.96	$49.99	$61.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $51.04 / $64.12	Professional		$32.11	$51.04	$64.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $96.92 / $204.50	Facility		$48.56	$96.92	$204.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $64.12 / $64.12	Professional		$50.13	$64.12	$64.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $26.63 / $50.80	Professional		$25.34	$26.63	$50.80