Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $70.52 / $79.93	Professional		$62.53	$70.52	$79.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $89.39	Professional		$89.39	$89.39	$89.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $144.81 / $166.81	Professional		$127.15	$144.81	$166.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $69.90 / $123.25	Facility		$52.42	$69.90	$123.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $123.52 / $134.00	Facility		$78.67	$123.52	$134.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.83 / $79.93 / $123.25	Facility		$61.83	$79.93	$123.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $91.05 / $137.19	Professional		$89.39	$91.05	$137.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $114.00 / $187.40	Professional		$77.27	$114.00	$187.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $118.00 / $204.80	Professional		$78.00	$118.00	$204.80