Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $123.03	Professional		$39.81	$54.95	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $154.88	Professional		$47.86	$102.33	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $151.36	Professional		$109.65	$123.03	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $158.49	Professional		$70.79	$107.15	$158.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $158.49	Professional		$83.18	$112.20	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $144.54	Professional		$91.20	$112.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $138.04	Professional		$51.29	$60.26	$138.04