Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $36.04 / $227.94	Professional		$29.63	$36.04	$227.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $125.70 / $163.95	Professional		$41.48	$125.70	$163.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $49.37 / $60.89	Facility		$36.04	$49.37	$60.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $54.97 / $62.21	Professional		$43.62	$54.97	$62.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $57.86 / $65.18	Facility		$47.04	$57.86	$65.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $59.25 / $59.25	Professional		$53.33	$59.25	$59.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $51.88 / $62.21	Facility		$35.61	$51.88	$62.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $51.88 / $65.18	Professional		$27.03	$51.88	$65.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $98.54 / $207.86	Facility		$49.37	$98.54	$207.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $65.18 / $65.18	Professional		$50.96	$65.18	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $29.56 / $56.40	Professional		$28.24	$29.56	$56.40