Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $112.20	Professional		$44.67	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $269.15	Professional		$21.88	$27.54	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $158.49	Professional		$104.71	$131.83	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.72 / $173.78	Facility		$47.86	$97.72	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $112.20	Professional		$44.67	$77.62	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $104.71	Facility		$69.18	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $147.91	Facility		$53.70	$97.72	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $269.15	Professional		$79.43	$112.20	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $218.78	Facility		$158.49	$173.78	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $208.93	Professional		$83.18	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $251.19	Professional		$89.13	$173.78	$251.19