Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $53.59 / $257.75	Professional		$42.10	$53.59	$257.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $56.56	Professional		$41.29	$41.29	$56.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $176.14 / $229.72	Professional		$62.54	$176.14	$229.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $73.42 / $89.34	Facility		$53.59	$73.42	$89.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $83.98 / $93.81	Professional		$66.42	$83.98	$93.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $89.34 / $98.27	Facility		$70.91	$89.34	$98.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $89.34 / $92.45	Professional		$80.41	$89.34	$92.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $76.73 / $93.81	Facility		$53.59	$76.73	$93.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $78.23 / $98.27	Professional		$41.29	$78.23	$98.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $148.56 / $313.44	Facility		$74.43	$148.56	$313.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $98.27 / $98.27	Professional		$76.83	$98.27	$98.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $41.41 / $79.01	Professional		$39.56	$41.41	$79.01