Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.85 / $195.00	Professional		$31.00	$40.85	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $46.70	Facility		$46.70	$46.70	$46.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $46.70	Professional		$34.09	$34.09	$46.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $138.49 / $180.62	Professional		$48.78	$138.49	$180.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $57.28 / $69.69	Facility		$41.81	$57.28	$69.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $65.51 / $73.17	Professional		$51.81	$65.51	$73.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $65.38 / $71.92	Facility		$55.31	$65.38	$71.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $69.69 / $69.69	Professional		$55.36	$69.69	$69.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $59.79 / $73.17	Facility		$41.81	$59.79	$73.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $61.03 / $76.66	Professional		$34.09	$61.03	$76.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $115.90 / $244.52	Facility		$58.07	$115.90	$244.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $76.66 / $76.66	Professional		$59.93	$76.66	$76.66
United Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $104.62 / $139.49	Facility		$104.62	$104.62	$139.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $32.61 / $62.23	Professional		$31.16	$32.61	$62.23