Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $134.90	Professional		$48.98	$63.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $151.36	Professional		$53.70	$83.18	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $229.09	Professional		$81.28	$162.18	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $245.47	Professional		$61.66	$134.90	$245.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $234.42	Professional		$79.43	$144.54	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $234.42	Professional		$93.33	$141.25	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $234.42	Professional		$40.74	$67.61	$234.42