Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $80.18 / $144.31	Professional		$29.78	$80.18	$144.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $87.43 / $245.50	Professional		$39.06	$87.43	$245.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $95.88 / $227.05	Professional		$57.63	$95.88	$227.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $87.18 / $184.31	Facility		$34.26	$87.18	$184.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $109.80 / $318.29	Professional		$53.94	$109.80	$318.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $164.99 / $203.01	Facility		$57.00	$164.99	$203.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $95.88 / $242.19	Facility		$34.47	$95.88	$242.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $182.71 / $248.11	Professional		$59.52	$182.71	$248.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $53.43 / $165.45	Professional		$39.10	$53.43	$165.45
United Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $151.80 / $271.58	Professional		$107.64	$151.80	$271.58