Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $69.91 / $119.60	Professional		$32.88	$69.91	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $89.64 / $230.40	Professional		$39.21	$89.64	$230.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $82.69 / $204.26	Professional		$59.08	$82.69	$204.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $74.41 / $194.22	Facility		$30.35	$74.41	$194.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $92.02 / $161.24	Professional		$43.02	$92.02	$161.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $146.07 / $170.85	Facility		$57.00	$146.07	$170.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $81.06 / $194.22	Facility		$34.06	$81.06	$194.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $96.32 / $206.86	Professional		$50.88	$96.32	$206.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $93.84 / $219.05	Professional		$38.64	$93.84	$219.05
United Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $135.13 / $238.60	Professional		$95.53	$135.13	$238.60