Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $120.23	Professional		$50.12	$57.54	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $154.88	Professional		$58.88	$102.33	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $151.36	Professional		$102.33	$128.82	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $141.25	Professional		$67.61	$100.00	$141.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $131.83	Professional		$74.13	$77.62	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $147.91	Professional		$70.79	$107.15	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $147.91	Professional		$87.10	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $151.36	Professional		$61.66	$102.33	$151.36