Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $57.80 / $145.36	Professional		$35.65	$57.80	$145.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $101.73 / $154.87	Professional		$53.75	$101.73	$154.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $127.97 / $148.63	Professional		$107.42	$127.97	$148.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $92.38 / $163.59	Professional		$82.50	$92.38	$163.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $26.78	Professional		$26.78	$26.78	$26.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $116.95 / $155.19	Professional		$85.14	$116.95	$155.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $111.20 / $149.71	Professional		$94.56	$111.20	$149.71
United Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $60.11 / $168.23	Professional		$53.54	$60.11	$168.23