Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $29.59 / $142.34	Professional		$21.70	$29.59	$142.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Facility		$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $33.84	Professional		$24.70	$24.70	$33.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $95.89 / $125.06	Professional		$34.54	$95.89	$125.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $40.54 / $49.34	Facility		$24.72	$40.54	$49.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $46.87 / $51.81	Professional		$36.69	$46.87	$51.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $49.34 / $54.27	Facility		$39.18	$49.34	$54.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $49.34 / $51.09	Professional		$39.20	$49.34	$51.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $42.31 / $51.81	Facility		$29.59	$42.31	$51.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $43.20 / $54.27	Professional		$24.70	$43.20	$54.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $82.04 / $173.09	Facility		$41.10	$82.04	$173.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $54.27 / $54.27	Professional		$42.43	$54.27	$54.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $22.53 / $42.98	Professional		$21.20	$22.53	$42.98