Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $38.79 / $45.34	Professional		$23.96	$38.79	$45.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Professional		$54.53	$54.53	$54.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $99.85 / $109.03	Professional		$86.27	$99.85	$109.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $35.83 / $83.70	Facility		$20.37	$35.83	$83.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $81.73 / $81.73	Facility		$67.09	$81.73	$81.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $41.40 / $83.70	Facility		$23.96	$41.40	$83.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $54.53 / $83.69	Professional		$51.64	$54.53	$83.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $64.98 / $108.01	Professional		$44.04	$64.98	$108.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $66.70 / $113.15	Professional		$43.70	$66.70	$113.15