Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $46.36 / $219.89	Professional		$34.01	$46.36	$219.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $62.01	Professional		$52.71	$52.71	$62.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $147.72 / $192.67	Professional		$53.36	$147.72	$192.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $63.51 / $76.23	Facility		$46.36	$63.51	$76.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $71.66 / $80.04	Professional		$56.67	$71.66	$80.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $76.23 / $87.03	Facility		$68.61	$76.23	$87.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $60.54 / $60.54	Professional		$60.54	$60.54	$60.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $62.01 / $76.23	Facility		$46.36	$62.01	$76.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $66.73 / $83.85	Professional		$52.71	$66.73	$83.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $126.74 / $267.39	Facility		$63.50	$126.74	$267.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $83.85 / $83.85	Professional		$66.31	$83.85	$83.85
United Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $47.20	Facility		$46.00	$46.00	$47.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $34.81 / $68.14	Professional		$33.26	$34.81	$68.14