Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $55.72 / $181.25	Facility		$50.87	$55.72	$181.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $62.68 / $184.25	Professional		$43.65	$62.68	$184.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $62.96 / $153.86	Facility		$28.60	$62.96	$153.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $129.97 / $145.38	Facility		$44.42	$129.97	$145.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $71.06 / $171.36	Facility		$28.90	$71.06	$171.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $423.96 / $852.22 / $1,175.01	Facility		$423.96	$852.22	$1,175.01