Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $47.43 / $225.00	Professional		$38.53	$47.43	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $48.73	Professional		$35.57	$35.57	$48.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $165.48 / $215.83	Professional		$54.59	$165.48	$215.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $64.98 / $80.19	Facility		$47.43	$64.98	$80.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $71.31 / $81.88	Professional		$57.98	$71.31	$81.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $77.98 / $103.97	Facility		$61.90	$77.98	$103.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $77.98 / $103.97	Professional		$61.95	$77.98	$103.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $67.81 / $81.88	Facility		$46.88	$67.81	$81.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $68.28 / $85.78	Professional		$35.57	$68.28	$85.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.97 / $129.68 / $273.57	Facility		$64.97	$129.68	$273.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $85.78 / $85.78	Professional		$67.06	$85.78	$85.78
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $38.90 / $74.22	Professional		$37.17	$38.90	$74.22