Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $44.61 / $203.79	Professional		$31.52	$44.61	$203.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Facility		$46.82	$46.82	$46.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $46.82	Professional		$34.18	$34.18	$46.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $137.06 / $178.78	Professional		$55.02	$137.06	$178.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $61.12 / $73.36	Facility		$44.61	$61.12	$73.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $68.95 / $77.03	Professional		$54.54	$68.95	$77.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $71.64 / $80.50	Facility		$58.23	$71.64	$80.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $73.36 / $80.50	Professional		$66.02	$73.36	$80.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $61.12 / $80.70	Facility		$43.50	$61.12	$80.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $64.23 / $80.70	Professional		$34.18	$64.23	$80.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $121.98 / $257.33	Facility		$61.11	$121.98	$257.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $80.70 / $80.70	Professional		$63.09	$80.70	$80.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $32.33 / $61.67	Professional		$30.88	$32.33	$61.67