Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $75.63 / $95.37	Professional		$42.05	$75.63	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $120.71 / $217.31	Professional		$54.54	$120.71	$217.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $170.65 / $203.93	Professional		$85.49	$170.65	$203.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $84.62 / $146.50	Facility		$35.58	$84.62	$146.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $109.62 / $160.69	Professional		$67.86	$109.62	$160.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $82.90 / $154.77	Facility		$56.69	$82.90	$154.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $89.19 / $181.68	Facility		$41.00	$89.19	$181.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $121.81 / $192.55	Professional		$70.33	$121.81	$192.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $138.66 / $202.58	Professional		$84.62	$138.66	$202.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $101.19 / $198.41	Professional		$56.44	$101.19	$198.41