Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $35.39 / $64.34	Professional		$17.77	$35.39	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $45.50 / $105.67	Professional		$21.99	$45.50	$105.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $79.41 / $102.20	Professional		$34.50	$79.41	$102.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $40.77 / $82.24	Facility		$19.70	$40.77	$82.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $61.69 / $85.70	Professional		$28.83	$61.69	$85.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $70.38 / $87.10	Facility		$34.36	$70.38	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $45.91 / $109.21	Facility		$20.00	$45.91	$109.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $80.59 / $110.55	Professional		$33.92	$80.59	$110.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $32.00 / $55.25	Professional		$29.95	$32.00	$55.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $69.44 / $113.98	Professional		$48.36	$69.44	$113.98