Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $53.84 / $258.97	Professional		$39.47	$53.84	$258.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $51.32	Professional		$37.46	$37.46	$51.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $171.52 / $226.94	Professional		$67.31	$171.52	$226.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $73.76 / $89.75	Facility		$53.84	$73.76	$89.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $85.26 / $94.24	Professional		$66.73	$85.26	$94.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $89.75 / $98.73	Facility		$71.25	$89.75	$98.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $89.75 / $92.92	Professional		$80.78	$89.75	$92.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $76.98 / $94.24	Facility		$51.32	$76.98	$94.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $78.59 / $98.73	Professional		$37.46	$78.59	$98.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $149.26 / $314.88	Facility		$74.78	$149.26	$314.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $98.73 / $98.73	Professional		$77.19	$98.73	$98.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $40.98 / $80.20	Professional		$38.57	$40.98	$80.20