Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $109.65	Professional		$26.92	$61.66	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $218.78	Professional		$38.90	$89.13	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $208.93	Professional		$47.86	$83.18	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $134.90	Facility		$30.20	$75.86	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $95.50 / $169.82	Professional		$36.31	$95.50	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $169.82	Facility		$104.71	$151.36	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $74.13 / $131.83	Facility		$30.90	$74.13	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $194.98	Professional		$53.70	$85.11	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $218.78	Professional		$43.65	$93.33	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $169.82	Professional		$40.74	$85.11	$169.82