Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $52.12 / $247.27	Professional		$38.25	$52.12	$247.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $69.70	Professional		$59.25	$59.25	$69.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $166.19 / $216.76	Professional		$59.99	$166.19	$216.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $71.40 / $85.70	Facility		$52.12	$71.40	$85.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $80.56 / $89.99	Professional		$63.72	$80.56	$89.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.13 / $85.70 / $97.64	Facility		$77.13	$85.70	$97.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $70.38 / $85.70	Facility		$52.12	$70.38	$85.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $75.04 / $94.27	Professional		$59.25	$75.04	$94.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $142.52 / $300.66	Facility		$71.40	$142.52	$300.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $94.27 / $94.27	Professional		$74.56	$94.27	$94.27
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $39.13 / $74.66	Professional		$37.39	$39.13	$74.66