Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $95.50	Professional		$42.66	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $218.78	Professional		$50.12	$114.82	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $208.93	Professional		$87.10	$165.96	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $125.89	Facility		$40.74	$89.13	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $169.82	Professional		$60.26	$112.20	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $154.88	Facility		$61.66	$125.89	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $125.89	Facility		$40.74	$81.28	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $190.55	Professional		$66.07	$93.33	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $204.17	Professional		$75.86	$144.54	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $190.55	Professional		$50.12	$89.13	$190.55