Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.13 / $131.83	Professional		$36.31	$74.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $234.42	Professional		$54.95	$102.33	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $213.80	Professional		$57.54	$102.33	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $204.17	Facility		$43.65	$102.33	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $257.04	Professional		$57.54	$128.82	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $194.98	Facility		$128.82	$181.97	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $208.93	Facility		$42.66	$97.72	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $229.09	Professional		$70.79	$147.91	$229.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $138.04	Professional		$47.86	$74.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $190.55	Professional		$48.98	$104.71	$190.55