Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $50.06 / $56.33	Professional		$33.54	$50.06	$56.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $64.00 / $76.68	Professional		$60.98	$64.00	$76.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $117.16 / $140.56	Professional		$100.37	$117.16	$140.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $56.33 / $104.55	Facility		$44.59	$56.33	$104.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $97.34 / $105.86	Facility		$63.52	$97.34	$105.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $56.33 / $116.04	Facility		$46.02	$56.33	$116.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $98.46 / $108.39	Professional		$63.42	$98.46	$108.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $85.10 / $111.47	Facility		$57.87	$85.10	$111.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $94.22 / $135.72	Professional		$57.57	$94.22	$135.72
United Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $86.65 / $137.72	Professional		$61.71	$86.65	$137.72