Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $41.04 / $163.00	Professional		$32.67	$41.04	$163.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $36.61	Professional		$26.73	$26.73	$36.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $115.06 / $150.06	Professional		$47.89	$115.06	$150.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $56.22 / $68.41	Facility		$39.59	$56.22	$68.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $64.31 / $71.83	Professional		$50.87	$64.31	$71.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $59.86 / $68.41	Facility		$53.14	$59.86	$68.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $68.41 / $68.41	Professional		$54.42	$68.41	$68.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $59.91 / $71.83	Facility		$36.61	$59.91	$71.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $59.91 / $75.25	Professional		$26.73	$59.91	$75.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $113.78 / $240.04	Facility		$57.00	$113.78	$240.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $75.25 / $75.25	Professional		$58.83	$75.25	$75.25
United Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $27.15 / $52.04	Professional		$25.55	$27.15	$52.04