Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $42.87 / $49.62	Professional		$27.90	$42.87	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $102.81 / $118.29	Professional		$90.30	$102.81	$118.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $45.26 / $97.31	Facility		$28.94	$45.26	$97.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $53.14 / $53.14	Professional		$53.14	$53.14	$53.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $42.22 / $45.18	Facility		$28.62	$42.22	$45.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $45.26 / $97.31	Facility		$35.07	$45.26	$97.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $59.65 / $94.21	Professional		$53.33	$59.65	$94.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $71.25 / $118.44	Professional		$48.30	$71.25	$118.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $82.36 / $131.75	Professional		$53.96	$82.36	$131.75