Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $69.66 / $123.55	Professional		$32.86	$69.66	$123.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $85.09 / $207.49	Professional		$41.49	$85.09	$207.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $159.40 / $202.49	Professional		$63.82	$159.40	$202.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $81.84 / $158.04	Facility		$36.44	$81.84	$158.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $106.19 / $272.67	Professional		$56.40	$106.19	$272.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $141.30 / $174.20	Facility		$57.00	$141.30	$174.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $89.15 / $211.19	Facility		$37.17	$89.15	$211.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $159.82 / $214.81	Professional		$63.63	$159.82	$214.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $56.40 / $140.81	Professional		$42.50	$56.40	$140.81
United Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $133.65 / $226.67	Professional		$94.77	$133.65	$226.67