Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $45.76 / $220.07	Professional		$33.54	$45.76	$220.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $43.62	Professional		$31.84	$31.84	$43.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $147.72 / $192.67	Professional		$53.40	$147.72	$192.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $62.69 / $76.28	Facility		$45.22	$62.69	$76.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $71.70 / $80.09	Professional		$56.71	$71.70	$80.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $76.28 / $83.91	Facility		$60.54	$76.28	$83.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $76.28 / $80.09	Professional		$60.59	$76.28	$80.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $65.44 / $80.09	Facility		$43.62	$65.44	$80.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $66.79 / $83.91	Professional		$31.84	$66.79	$83.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $126.84 / $267.60	Facility		$63.55	$126.84	$267.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $83.91 / $83.91	Professional		$65.59	$83.91	$83.91
United Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $34.83 / $66.45	Professional		$32.78	$34.83	$66.45