Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $35.61 / $168.92	Professional		$31.63	$35.61	$168.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $37.25	Professional		$27.19	$27.19	$37.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $124.28 / $162.11	Professional		$40.98	$124.28	$162.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $48.79 / $61.42	Facility		$35.61	$48.79	$61.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $55.03 / $58.54	Professional		$43.53	$55.03	$58.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $57.17 / $64.39	Facility		$46.48	$57.17	$64.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $58.54 / $61.47	Professional		$52.69	$58.54	$61.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $51.26 / $61.47	Facility		$35.61	$51.26	$61.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $51.26 / $64.39	Professional		$27.19	$51.26	$64.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $97.36 / $205.38	Facility		$48.78	$97.36	$205.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $64.39 / $64.39	Professional		$50.34	$64.39	$64.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $29.21 / $55.72	Professional		$27.91	$29.21	$55.72