Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $35.24 / $54.18	Professional		$22.29	$35.24	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $52.29 / $92.99	Professional		$28.20	$52.29	$92.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $73.68 / $93.83	Professional		$43.34	$73.68	$93.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $43.41 / $73.38	Facility		$24.75	$43.41	$73.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $59.39 / $79.67	Professional		$36.29	$59.39	$79.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $65.41 / $79.73	Facility		$36.00	$65.41	$79.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $47.94 / $97.11	Facility		$25.29	$47.94	$97.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $74.81 / $96.76	Professional		$42.71	$74.81	$96.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $38.54 / $64.55	Professional		$28.90	$38.54	$64.55
United Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $67.25 / $118.86	Professional		$49.02	$67.25	$118.86