Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $70.79 / $128.82	Professional		$25.70	$70.79	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $239.88	Professional		$38.90	$87.10	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $223.87	Professional		$42.66	$97.72	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $91.20 / $186.21	Facility		$32.36	$91.20	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $102.33 / $263.03	Professional		$40.74	$102.33	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $204.17	Facility		$123.03	$173.78	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $91.20 / $190.55	Facility		$31.62	$91.20	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $147.91 / $229.09	Professional		$54.95	$147.91	$229.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $138.04	Professional		$35.48	$54.95	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $190.55	Professional		$38.02	$83.18	$190.55