Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $54.71 / $117.34	Professional		$19.76	$54.71	$117.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $59.77 / $199.08	Professional		$26.15	$59.77	$199.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $77.59 / $193.63	Professional		$38.36	$77.59	$193.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $57.64 / $149.22	Facility		$22.79	$57.64	$149.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $84.82 / $257.81	Professional		$35.38	$84.82	$257.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $133.63 / $164.15	Facility		$42.21	$133.63	$164.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $76.73 / $195.93	Facility		$22.80	$76.73	$195.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $146.96 / $200.66	Professional		$39.68	$146.96	$200.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $35.51 / $133.19	Professional		$25.93	$35.51	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $124.32 / $213.58	Professional		$86.58	$124.32	$213.58