Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $36.00 / $171.73	Professional		$23.95	$36.00	$171.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $34.54	Professional		$25.21	$25.21	$34.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $117.18 / $152.84	Professional		$41.43	$117.18	$152.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $49.32 / $59.18	Facility		$36.00	$49.32	$59.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $55.63 / $62.14	Professional		$44.00	$55.63	$62.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $55.27 / $60.80	Facility		$46.98	$55.27	$60.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $55.27 / $59.18	Professional		$50.30	$55.27	$59.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $50.82 / $62.14	Facility		$33.22	$50.82	$62.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $51.82 / $65.09	Professional		$25.21	$51.82	$65.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $98.42 / $207.62	Facility		$49.31	$98.42	$207.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $65.09 / $65.09	Professional		$50.89	$65.09	$65.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $27.58 / $52.85	Professional		$26.35	$27.58	$52.85