Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $44.67	Professional		$26.92	$40.74	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $117.49	Professional		$91.20	$104.71	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $64.57	Facility		$30.20	$45.71	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $46.77	Professional		$28.84	$40.74	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $44.67	Facility		$29.51	$42.66	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $67.61	Facility		$30.20	$45.71	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $117.49	Professional		$57.54	$77.62	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $125.89	Professional		$48.98	$75.86	$125.89