Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $68.20 / $119.04	Professional		$45.83	$68.20	$119.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $68.66 / $123.28	Professional		$34.24	$68.66	$123.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $140.37 / $200.08	Professional		$67.77	$140.37	$200.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $36.46 / $51.96	Professional	26	$17.60	$36.46	$51.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $124.71 / $225.99	Professional		$102.66	$124.71	$225.99
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $36.45 / $47.97	Facility	26	$27.62	$36.45	$47.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $134.44 / $196.52	Professional		$69.34	$134.44	$196.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $134.06 / $228.55	Professional		$124.49	$134.06	$228.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $99.06 / $230.89	Professional		$39.61	$99.06	$230.89