Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $54.71 / $123.33	Professional		$19.76	$54.71	$123.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $59.77 / $209.74	Professional		$26.15	$59.77	$209.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $81.73 / $194.53	Professional		$38.36	$81.73	$194.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $57.64 / $156.86	Facility		$22.79	$57.64	$156.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $92.75 / $271.62	Professional		$35.09	$92.75	$271.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $140.16 / $173.53	Facility		$41.60	$140.16	$173.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $80.31 / $205.57	Facility		$22.80	$80.31	$205.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $153.12 / $210.65	Professional		$39.35	$153.12	$210.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $35.51 / $140.09	Professional		$25.93	$35.51	$140.09
United Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $127.60 / $225.78	Professional		$90.48	$127.60	$225.78