Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $53.85 / $260.00	Professional		$51.75	$53.85	$260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $182.53 / $238.05	Professional		$73.09	$182.53	$238.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $88.36 / $104.41	Facility		$62.63	$88.36	$104.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $98.15 / $109.63	Professional		$77.63	$98.15	$109.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $93.97 / $114.85	Facility		$82.88	$93.97	$114.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $104.41 / $114.85	Professional		$82.88	$104.41	$114.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $91.43 / $109.63	Facility		$53.85	$91.43	$109.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $91.43 / $114.85	Professional		$39.31	$91.43	$114.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $173.64 / $366.32	Facility		$86.99	$173.64	$366.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $114.85 / $114.85	Professional		$89.79	$114.85	$114.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $43.00 / $82.03	Professional		$40.90	$43.00	$82.03