Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $61.11 / $69.01	Professional		$40.26	$61.11	$69.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $84.67 / $101.44	Professional		$80.67	$84.67	$101.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $140.16 / $168.16	Professional		$120.11	$140.16	$168.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $66.56 / $130.09	Facility		$51.94	$66.56	$130.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $56.95 / $62.57	Facility		$39.86	$56.95	$62.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $66.56 / $125.92	Facility		$55.49	$66.56	$125.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $81.54 / $127.09	Professional		$66.59	$81.54	$127.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.20 / $153.47	Facility		$95.48	$125.20	$153.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $113.85 / $168.52	Professional		$69.55	$113.85	$168.52
United Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $119.28 / $186.49	Professional		$84.80	$119.28	$186.49