Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $35.58 / $192.00	Professional		$27.38	$35.58	$192.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $39.78	Professional		$39.78	$39.78	$39.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $63.74 / $73.44	Professional		$55.98	$63.74	$73.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $37.36 / $163.19	Facility		$23.41	$37.36	$163.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $54.36 / $59.63	Facility		$35.78	$54.36	$59.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $35.58 / $192.00	Facility		$27.82	$35.58	$192.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.86 / $60.37	Professional		$39.78	$39.86	$60.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $50.73 / $83.39	Professional		$34.39	$50.73	$83.39
United Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $51.62 / $91.14	Professional		$33.82	$51.62	$91.14