Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $84.35 / $141.22	Professional		$40.79	$84.35	$141.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $102.63 / $238.58	Professional		$54.86	$102.63	$238.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $101.38 / $230.25	Professional		$78.83	$101.38	$230.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $97.17 / $181.85	Facility		$46.83	$97.17	$181.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $134.74 / $309.80	Professional		$74.97	$134.74	$309.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $160.59 / $196.98	Facility		$69.15	$160.59	$196.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $112.62 / $237.69	Facility		$47.68	$112.62	$237.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $183.52 / $245.62	Professional		$81.28	$183.52	$245.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $73.01 / $163.26	Professional		$53.55	$73.01	$163.26
United Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $155.04 / $256.45	Professional		$71.83	$155.04	$256.45