Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $46.84 / $222.22	Professional		$25.03	$46.84	$222.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $37.36	Professional		$27.27	$27.27	$37.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $122.16 / $159.33	Professional		$53.92	$122.16	$159.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $59.40 / $77.03	Facility		$46.84	$59.40	$77.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $72.41 / $80.88	Professional		$57.27	$72.41	$80.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $64.80 / $77.03	Facility		$57.53	$64.80	$77.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $69.33 / $77.03	Professional		$58.91	$69.33	$77.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $64.17 / $80.88	Facility		$37.36	$64.17	$80.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $67.45 / $84.73	Professional		$27.27	$67.45	$84.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $128.08 / $270.25	Facility		$64.17	$128.08	$270.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $84.73 / $84.73	Professional		$66.25	$84.73	$84.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $28.82 / $56.42	Professional		$27.53	$28.82	$56.42