Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $56.85 / $224.61	Professional		$36.93	$56.85	$224.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $50.36	Professional		$36.76	$36.76	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $164.76 / $214.89	Professional		$65.43	$164.76	$214.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $77.88 / $93.47	Facility		$56.85	$77.88	$93.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $87.86 / $98.14	Professional		$69.50	$87.86	$98.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $84.12 / $93.47	Facility		$74.20	$84.12	$93.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $93.47 / $97.31	Professional		$77.84	$93.47	$97.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $80.19 / $98.14	Facility		$46.84	$80.19	$98.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $81.84 / $102.82	Professional		$36.76	$81.84	$102.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $155.44 / $327.94	Facility		$77.88	$155.44	$327.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $102.82 / $102.82	Professional		$80.38	$102.82	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $38.84 / $74.09	Professional		$37.11	$38.84	$74.09